NPIMap

Individual provider Active NPI

Eleanor Renee Jenkins-Alford, M.D.

  • Family Medicine Physician
  • Goose Creek, SC
National Provider Identifier
1689743569
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16242 Issued in SC
Practice address
122 S Goose Creek Blvd
Suite B
Goose Creek, SC 29445-3136
Phone
(843) 553-2211
Fax
(843) 553-2210
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 18

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Physical Medicine and Rehabilitation
Education
Medical University of South Carolina College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fetter Health Care Network Inc 26 clinicians

Practice addresses (Care Compare)

130 Varnfield Dr
Suite 100
Summerville, SC 29483-7317
Phone (843) 821-3444

35 Walnut St
Charleston, SC 29403-4514
Phone (843) 723-9477

679 Orangeburg Rd
Unit F
Summerville, SC 29483-9038
Phone (843) 722-4112

700 N Pine St
Summerville, SC 29483-6641
Phone (843) 821-3444

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Roper Hospital Hospital, Charleston, SC, CCN 420087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20130111000149 SC Practitioner - Family PracticePractitioner - General PracticePractitioner - Physical Medicine and Rehabilitation 8628221181 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Healthcare of Charleston LLC CurrentSince Nov 3, 2012 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Dec 29, 2018 Accepting new patients
Fetter Health Care Network, Inc. Current Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Oct 15, 2022 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Dec 29, 2018 Accepting new patients
Fetter Health Care Network Inc CurrentSince May 1, 2018 Accepting new patients
Gray'S Pain Relief Center, LLC PastSince Nov 3, 2012 Accepting new patients
Fetter Health Care Network, Inc. Past Accepting new patients

Locations

35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477

51 Nassau St
Charleston, SC 29403

3 Technology Cir
Columbia, SC 29203

122 S Goose Creek Blvd
#B
Goose Creek, SC 29445
Phone (843) 553-2211

403 Stony Landing Rd
Moncks Corner, SC 29461
Phone (843) 761-8282

6401 Dorchester Rd
North Charleston, SC 29418
Phone (843) 207-3019

679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600

130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444

700 N Pine St
Summerville, SC 29483
Phone (843) 549-6853

8548 Willtown Rd
Yonges Island, SC 29449
Phone (843) 723-9582

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16242 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

122 S Goose Creek Blvd
Suite B
Goose Creek, SC 29445-3136

Mailing address

1005 Bakers Landing Dr
North Charleston, SC 29418-3096
Phone (843) 207-9144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2012.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1689743569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BAKERS LANDING DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294183096",
            "telephone_number": "843-207-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S GOOSE CREEK BLVD",
            "address_2": "SUITE B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453136",
            "telephone_number": "843-553-2211",
            "fax_number": "843-553-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS-ALFORD",
        "first_name": "ELEANOR",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "16242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.