Individual provider Active NPI

Jasmine Fox-Bookhardt, PA-C

  • Physician Assistant
  • Pelion, SC
National Provider Identifier
1730966524
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5014 Issued in SC
Practice address
8063 Edmund Hwy
Pelion, SC 29123-9805
Phone
(803) 894-3736
Fax
(803) 894-5315
NPI assigned
Sep 13, 2023
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5014 SC Primary

Addresses

Primary practice location

8063 Edmund Hwy
Pelion, SC 29123-9805

Mailing address

PO Box 280
Orangeburg, SC 29116-0280
Phone (843) 560-3985

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
I20231212001855 SC Practitioner - Physician Assistant 5698124964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1228 Harden St
Columbia, SC 29204-1800

4605 Monticello Rd
Columbia, SC 29203-4156
Phone (803) 714-0266

4605 Monticello Rd B
Columbia, SC 29203-4156
Phone (803) 714-0266

8063 Edmund Hwy
Pelion, SC 29123-9805
Phone (803) 894-3736

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Oct 31, 2023 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Oct 31, 2023 Accepting new patients

Locations

169 Laurelhurst Ave
Columbia, SC 29210
Phone (803) 730-0742

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

8063 Edmund Hwy
Pelion, SC 29123
Phone (803) 894-3736

407 N Brown St
West Columbia, SC 29169
Phone (803) 722-1352

Interoperability endpoints

  • Direct secure messaging: jasmine.fox-bookhardt.1@10781.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1730966524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291160280",
            "telephone_number": "843-560-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8063 EDMUND HWY",
            "city": "PELION",
            "state": "SC",
            "postal_code": "291239805",
            "telephone_number": "803-894-3736",
            "fax_number": "803-894-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX-BOOKHARDT",
        "first_name": "JASMINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelion, SC

Sources for this page

Verify at the official NPI Registry.