Active NPI
Christopher R. Jennings, MD
- Obstetrics & Gynecology Physician
- Anderson, SC
National Provider Identifier
1801839485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20614
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206146 | Medicaid | SC | |
| 004916614 | Other | SC | SC DRIVERS LICENSE |
| 000956667C | Other | GA | GEORGIA 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20614 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John W Martin Jr MD PA | Single Specialty | Past | 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.