Individual provider Active NPI

Sandra Gillins Jones, FNP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1639365828
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1522 Issued in SC
Practice address
2133 Walker Solomon Way
Columbia, SC 29204-1131
Phone
(803) 296-3244
Fax
(803) 296-3245
NPI assigned
Sep 20, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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 1522 SC Primary

Addresses

Primary practice location

2133 Walker Solomon Way
Columbia, SC 29204-1131

Mailing address

2133 Walker Solomon Way
Columbia, SC 29204-1131
Phone (803) 296-3244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2711 Colonial Dr
Columbia, SC 29203-6818

PO Box
Suite 50597
Columbia, SC 29250-0597

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1522SCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1639365828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 WALKER SOLOMON WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041131",
            "telephone_number": "803-296-3244",
            "fax_number": "803-296-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 WALKER SOLOMON WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041131",
            "telephone_number": "803-296-3244",
            "fax_number": "803-296-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SANDRA",
        "middle_name": "GILLINS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "1522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.