Individual provider Active NPI

Jennifer Pugh, NP-C

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1619351194
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19460 Issued in SC
Practice address
2709 Pelham Rd Ste B
Greenville, SC 29615-4083
Phone
(864) 651-9217
Fax
(864) 297-5041
NPI assigned
Jul 15, 2015
Last updated
Nov 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19460 SC Primary

Addresses

Primary practice location

2709 Pelham Rd Ste B
Greenville, SC 29615-4083

Mailing address

2709 Pelham Rd Ste B
Greenville, SC 29615-4083
Phone (864) 651-9217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151019002452 SC Practitioner - Nurse Practitioner 5991014649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Ambulatory Services - St. Francis, LLCGroup PAC ID 0840590931, 57 clinicians

Practice addresses (Care Compare)

1467 Woodruff Rd
Suite C
Greenville, SC 29607-6505
Phone (864) 458-8126

1494 W Wade Hampton Blvd
Suite C
Greer, SC 29650-1166
Phone (864) 849-8999

1667 E Main St
Duncan, SC 29334-9217
Phone (864) 757-5059

1800 Augusta St
Suite B
Greenville, SC 29605-2928
Phone (864) 412-7812

2310 Wade Hampton Blvd
Greenville, SC 29615-1043
Phone (864) 292-5915

2746 Boiling Springs Rd
Boiling Springs, SC 29316-6003
Phone (864) 757-5059

3213 N Pleasantburg Dr
Suite E2
Greenville, SC 29609-2900
Phone (864) 467-2005

3613 Hwy 153
Greenville, SC 29611-7516
Phone (864) 757-5059

3710 Clemson Blvd
Anderson, SC 29621-1317
Phone (864) 757-5059

3930 Grandview Dr
Suite B
Simpsonville, SC 29680-3163
Phone (864) 757-5059

5208 Calhoun Memorial Hwy
Suite C
Easley, SC 29640-3864
Phone (864) 757-5059

649 A Haywood Rd
Greenville, SC 29607-2719
Phone (864) 537-0003

925 W Butler Rd
Greenville, SC 29607-4841
Phone (864) 757-5059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Ambulatory Services - St. Francis, LLC CurrentSince Mar 20, 2020 Accepting new patients
Woodruff Road Urgent Care Center, P.C. Current Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

2709 Pelham Rd
Ste B
Greenville, SC 29615
Phone (864) 537-0050

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Interoperability endpoints

  • Direct secure messaging: jpugh1154836@direct.bsmhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1619351194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 PELHAM RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154083",
            "telephone_number": "864-651-9217",
            "fax_number": "864-297-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 PELHAM RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154083",
            "telephone_number": "864-651-9217",
            "fax_number": "864-297-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "JENNIFER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.