Individual provider Active NPI

Jessica Ann Pray-Holmes

  • Primary Care Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1720824600
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
28959 Issued in SC
Practice address
1 Bishop Gadsden Way Ste 97
Charleston, SC 29412-3506
Phone
(843) 406-2362
Fax
(843) 606-8082
NPI assigned
Jul 1, 2024
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 28959 SC Primary

Addresses

Primary practice location

1 Bishop Gadsden Way Ste 97
Charleston, SC 29412-3506

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812001823 SC Practitioner - Nurse Practitioner 2062950868 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onsite Healthcare and Wellness LLCGroup PAC ID 6800141631, 28 clinicians

Practice addresses (Care Compare)

1 Bishop Gadsden Way
Suite 97
Charleston, SC 29412-3506
Phone (843) 406-2362

105 Franklin Square Way
Suite a
Easley, SC 29642-3715
Phone (864) 442-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Current Accepting new patients
Onsite Medical Solutions SC Coastal LLC CurrentSince Oct 23, 2024 Accepting new patients
Onsite Healthcare and Wellness LLC CurrentSince May 23, 2024 Accepting new patients
Onsite Medical Solutions SC Upstate LLC CurrentSince Nov 5, 2024 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 6, 2025 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 6, 2025 Accepting new patients

Locations

1 Bishop Gadsden Way
Ste 97
Charleston, SC 29412
Phone (843) 406-2362

1 Gadsden Way
Charleston, SC 29412
Phone (843) 406-6302

1137 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 720-5665

105 Franklin Square Way
#A
Easley, SC 29642
Phone (864) 442-4019

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: jprayholmes1368447@direct.bsmhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1720824600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BISHOP GADSDEN WAY STE 97",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123506",
            "telephone_number": "843-406-2362",
            "fax_number": "843-606-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAY-HOLMES",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "28959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.