Jeffrey John Farricielli, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

36306 Issued in SC

Practice address

1131 Queensborough Blvd Ste 102
Mount Pleasant, SC 29464

Phone

(843) 901-2145

Fax

(877) 670-7886

NPI assigned

Jun 3, 2009

Last updated

Sep 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEJECD/Endpoint/JEJECD
• Direct secure messaging: jeffrey.farricielli.1@7857.direct.athenahealth.com

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.

• The Center for Regenerative Medicine

  • Physical Medicine & Rehabilitation Physician
  • Mount Pleasant, SC
  • NPI 1144799503
  Medicare reassignment NPD Authorized official
• Carolina Spine Pain LLC

  • Pain Medicine Physician
  • Easley, SC
  • NPI 1447918230
  NPD (past)
• Qol Care LLC

  • Home Health Agency
  • North Charleston, SC
  • NPI 1184362568
  NPD (past)

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1730315813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 QUEENSBOROUGH BLVD STE 102",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645430",
            "telephone_number": "843-901-2145",
            "fax_number": "877-670-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 QUEENSBOROUGH BLVD STE 102",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-901-2145",
            "fax_number": "877-670-7886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 Old Georgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294647307",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "fax_number": "843-797-3637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9267 Medical Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069139",
            "country_code": "US",
            "telephone_number": "843-797-3636",
            "fax_number": "843-797-3637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Brushy Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296421120",
            "country_code": "US",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRICIELLI",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "36306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Farina, LCSW
• Keith G Farley, OD
• Elizabeth McCutchen Farlow, MSR SLP
• Donna Tuten Farmer, M.ED., LPC, SCLPC
• Sharon Farrell
• Julie Hall Faubion, MSR, CCC-SLP
• John Fauerbach, DC
• Brenda Shirley Fauteux, RPH
• Jessica Fay
• Sarah Proctor Fender, PA-C

• Physical Medicine & Rehabilitation Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.