Jared Guichard

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

LL34757 Issued in SC

Practice address

100 Callen Blvd
Summerville, SC 29486-2807

Phone

(854) 529-3100

NPI assigned

Jun 13, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

84.09 of 100Reported as group

Quality

79.17

Improvement activities

40

Cost

69.71

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• 24 On Physicians of SC, LLC

  • Hospitalist Physician
  • Charleston, SC
  • NPI 1144877655
  Medicare reassignment NPD

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1669734760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 RAVEN RD",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294108509",
            "telephone_number": "619-933-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLEN BLVD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862807",
            "telephone_number": "854-529-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUICHARD",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL34757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby H Grossman, M.D.
• Lynda Denise Grossman, D.D.S.
• Grosso Orthodontics, LLC
• Guerins Pharmacy Inc
• Ashton Guichard, NP
• Wallace Lyndon Guilford III, D.M.D.
• Tory R Guilliam, DPT
• Alexandra Gumen, RDN
• Alyssa Gustafson, RDH
• Veronica Guy, DMD

• Internal Medicine Physician in Summerville, SC
• Providers in Summerville, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.