Jennifer Moon Pittard, FNP-C

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

21335 Issued in SC

Practice address

811 W Main St Ste 201&209
Lexington, SC 29072-2507

Phone

(803) 785-4777

Fax

(803) 358-6240

NPI assigned

Sep 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

University of South Carolina School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Merit-based Incentive Payment System (MIPS)

Final score

84.09 of 100Reported as group

Quality

68.87

Promoting interoperability

100

Improvement activities

40

Cost

78.11

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbailey5548@direct.lexmed.com

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.

• Lexington Health Inc

  dba Lexington Orthopaedic and Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Columbia, SC
  • NPI 1710634753
  Medicare reassignment Care Compare group NPD
• Lexington County Health Services District Inc

  dba Lexington Medical Center

  • General Acute Care Hospital
  • West Columbia, SC
  • NPI 1356366314
  NPD
• Lexington Health Inc

  dba Lexington Women's Care

  • Obstetrics & Gynecology Physician
  • West Columbia, SC
  • NPI 1487252508
  NPD
• Lexington Health Inc

  dba Lexington Internal Medicine

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1942190988
  NPD
• Lexington County Health Services District, Inc.

  dba Lexington Medical Center Irmo

  • Urgent Care Clinic/Center
  • Columbia, SC
  • NPI 1396778056
  NPD (past)
• Southern Medical Management, LLC

  dba SouthernMED Counseling

  • Pediatrics Physician
  • Lexington, SC
  • NPI 1114196557
  NPD (past)
• Sweetgrass Pediatrics

  • Pediatrics Physician
  • North Charleston, SC
  • NPI 1437168135
  NPD (past)

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

• Lexington Health Inc

  dba Lexington Medical Center

  • General Acute Care Hospital
  • West Columbia, SC
  • NPI 1386241834
  Care Compare affiliation

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1730698580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-785-4777",
            "fax_number": "803-358-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W MAIN ST STE 201&209",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722507",
            "telephone_number": "803-785-4777",
            "fax_number": "803-358-6240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Wellness Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632873",
            "country_code": "US",
            "telephone_number": "803-749-9920",
            "fax_number": "803-749-9916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTARD",
        "first_name": "JENNIFER",
        "middle_name": "MOON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "SC",
            "license": "21335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4799",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbailey5548@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "811 W Main St Ste 201&209",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290722507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Liliann Pineda Hawkins
• Helena Raquel Pinheiro, AUD
• Brittany N Pinson, OTR/L
• Katina Patriss Pipkins-Byrd
• Andrew Pittard, MD
• Bradley Reeder Pitts, D.M.D.
• Pivot Pelvic Health Physical Therapy LLC
• Shelby Plooster
• Mickey F Plymale, MD
• Amanda Polanco

• Obstetrics & Gynecology Nurse Practitioner in Lexington, SC
• Providers in Lexington, SC by specialty
• Obstetrics & Gynecology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.