Jenifer Boykin

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

P9571 Issued in SC

Practice address

1116 Church St
Camden, SC 29020-3502

Phone

(803) 425-6012

NPI assigned

Mar 25, 2014

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• State of South Carolina

  • Public Health or Welfare Agency
  • Camden, SC
  • NPI 1124102306
  NPD (past)
• State of South Carolina Comptroller General

  • Skilled Nursing Facility
  • Florence, SC
  • NPI 1336994250
  NPD (past)

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1689091985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 BAYNARD BOYKIN RD",
            "city": "REMBERT",
            "state": "SC",
            "postal_code": "291289603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 CHURCH ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203502",
            "telephone_number": "803-425-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "JENIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "SC",
            "license": "P9571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Munn Blair
• Alicia Blanding, RN
• Jacqueline Michelle Bobo, M.A., CCC-SLP
• Ann Johnson Boykin, PT, DPT
• Audrey Ellerbe Boykin
• Sarah Creed Bradley, NP
• Elizabeth Noelle Bradshaw
• Geneva Bradshaw, LPCC
• Joyce J Branham
• Melinda Branham

• All providers in Camden, SC
• State or Local Public Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.