NPIMap

Individual provider Active NPI

Racheal Anne Jernigan, APRN

  • Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1710136528
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3715 Issued in SC
Practice address
111 Doctor Cir
Columbia, SC 29203-6502
Phone
(800) 491-0909
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3715 SC
Nurse Practitioner 363L00000X 3715 SC Primary

Addresses

Primary practice location

111 Doctor Cir
Columbia, SC 29203-6502

Mailing address

111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909

Other identifiers 1

IdentifierTypeStateIssuer
NP1275MedicaidSC

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000195 SC Practitioner - Nurse Practitioner 2961579578 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians
Coastal Carolina Multispecialty Associates LLCGroup PAC ID 9931105046, 48 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4946

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3715SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University Hospital Authority CurrentSince Jan 31, 2015 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Sep 6, 2008 Accepting new patients
SC House Calls Inc CurrentSince Aug 19, 2019 Accepting new patients
SC House Calls Inc CurrentSince Aug 19, 2019 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Coastal Carolina Multispecialty Associates, LLC CurrentSince Aug 11, 2025 Accepting new patients
Medical University Hospital Authority CurrentSince Jan 31, 2015 Accepting new patients
University Medical Associates of the Medical University of South Carol Nurse Practitioner CurrentSince Sep 6, 2008 Accepting new patients
Coastal Carolina Multispecialty Assocs, LLC Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

120 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-1421

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 9

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1710136528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DOCTOR CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036502",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "RACHEAL",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3715",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "3715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1275",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.