Individual provider Active NPI

Jamae Cherie McDermott, MD

  • Forensic Psychiatry Physician
  • Columbia, SC
National Provider Identifier
1700918562
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
28107 Issued in SC
Practice address
2315 Gadsden St
Columbia, SC 29201-2038
Phone
(038) 260-1019
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 28107 SC
Geriatric Psychiatry Physician 2084P0805X 28107 SC
Forensic Psychiatry Physician 2084F0202X 28107 SC Primary

Addresses

Primary practice location

2315 Gadsden St
Columbia, SC 29201-2038

Mailing address

2315 Gadsden St
Columbia, SC 29201-2038
Phone (038) 260-1019

Other identifiers 1

IdentifierTypeStateIssuer
281073MedicaidSC

Other names 1

  • Dr. Jamae Cherie Campbell Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120117000229 SC Practitioner - Psychiatry 4082881032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Carolina School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Columbia, SC 29201
Phone (803) 260-1019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28107SCMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Specialty Long Term Care Geriatric Psychiatry CurrentSince Sep 16, 2023 Accepting new patients
University Specialty Clinics - Neuropsychiatry and Behavioral Science Psychiatry Past Accepting new patients
Lake Psychological Services, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1700918562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 GADSDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012038",
            "telephone_number": "038-260-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 GADSDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012038",
            "telephone_number": "038-260-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "JAMAE",
        "middle_name": "CHERIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "28107",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "SC",
            "license": "28107",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "SC",
            "license": "28107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281073",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMAE",
            "last_name": "CAMPBELL",
            "middle_name": "CHERIE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.