Jennifer Anne Adair, M.D.
Individual provider Active NPI Emergency Medicine Physician · Summerville, SC
NPI 1679600134 · NPPES record last updated Aug 4, 2020
Key facts
- NPI
- 1679600134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 28167 (SC)
- Practice address
- Summerville Medical Center (Ed)
295 Midland Parkway
Summerville, SC 29485 - Phone
- (843) 832-5160
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070928000282 | SC | Practitioner - Emergency Medicine | 8123113644 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28167 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current |
Accepting new patients |
| Hillside Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients |
Locations
1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 28167 | SC | Yes |
Addresses
Primary practice location
Summerville Medical Center (Ed)
295 Midland Parkway
Summerville, SC 29485
Mailing address
Summerville Medical Center (Ed)
295 Midland Parkway
Summerville, SC 29485
Phone (843) 832-5160
Other providers in Summerville, SC
- Jessica Ace
- Acpmedgroup, LLC
- Acuity Dental - Sda LLC
- Acuity Dental - Sda LLC
- Acuity Dentistry and Orthodontics
- Carla Adams
- Leif Martin Adams
- Stephanie Baker Adams
- Tera Adams
- Emily Addicks
All providers in Summerville, SC · Emergency Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.