Individual provider Active NPI

Christopher R. Jennings, MD

  • Obstetrics & Gynecology Physician
  • Anderson, SC
National Provider Identifier
1801839485
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20614 Issued in SC
Practice address
1115 Dunlap Rd
Anderson, SC 29621-2501
Phone
(864) 226-2582
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20614 SC
Obstetrics & Gynecology Physician 207V00000X 20614 SC Primary

Addresses

Primary practice location

1115 Dunlap Rd
Anderson, SC 29621-2501

Mailing address

1115 Dunlap Rd
Anderson, SC 29621-2501
Phone (864) 226-4284

Other practice location 1

2408 Warriors Path
Anderson, SC 29621-4249
Phone (864) 276-4190

Other practice location 2

160 Perpetual Sq
Anderson, SC 29621-1713
Phone (864) 224-2222

Other practice location 3

3115 Brushy Creek Rd Ste C-2
Greer, SC 29650-0903
Phone (864) 801-1980

Other identifiers 3

IdentifierTypeStateIssuer
206146MedicaidSC
004916614OtherSCSC DRIVERS LICENSE
000956667COtherGAGEORGIA MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20614SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John W Martin Jr MD PA Single Specialty PastSince May 25, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1801839485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 DUNLAP RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212501",
            "telephone_number": "864-226-4284",
            "fax_number": "864-801-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 DUNLAP RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212501",
            "telephone_number": "864-226-2582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2408 Warriors Path",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296214249",
            "country_code": "US",
            "telephone_number": "864-276-4190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Perpetual Sq",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211713",
            "country_code": "US",
            "telephone_number": "864-224-2222",
            "fax_number": "864-375-1347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3115 Brushy Creek Rd Ste C-2",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296500903",
            "country_code": "US",
            "telephone_number": "864-801-1980",
            "fax_number": "864-801-1312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "CHRISTOPHER",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "20614",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "20614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206146",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC DRIVERS LICENSE",
            "identifier": "004916614",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAID",
            "identifier": "000956667C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.