Active NPI
Jeffrey Donald Raynor, MD
- Forensic Psychiatry Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 29848
- Practice address
- 11 Richland Medical Park Dr
Columbia, SC 29203-6863 - Phone
- (803) 434-4800
- Fax
- (803) 434-4878
- NPI assigned
- May 21, 2007
- Last updated
- Nov 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 29848 | SC | Primary |
| Psychiatry Physician | 2084P0800X | 29848 | SC | |
| Hospitalist Physician | 208M00000X | 29848 | SC |
Addresses
Primary practice location
11 Richland Medical Park Dr
Columbia, SC 29203-6863
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
Taylor At Marion
Columbia, SC 29220-0001
Phone (803) 296-5579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 298485 | Medicaid | SC |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of South Carolina School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-4506
220 Faison Dr
Columbia, SC 29203-3210
Phone (803) 898-8415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29848 | SC | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Psychiatry | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Psychiatry | Current | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Psychiatry | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Hospitalist | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
100 Palmetto Health Pkwy
Ste 104
Columbia, SC 29212
Phone (803) 434-5668
11 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-4506
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662
2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461
3 Richland Medical Park Dr
Ste 510
Columbia, SC 29203
Phone (803) 296-2726
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249
129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752
Interoperability endpoints
- jraynor502905@direct.ghs.myhfn.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Psychiatry
-
dba Patrick B Harris Psychiatric Hospital
- Psychiatric Hospital
- Anderson, SC
- NPI 1376595041
Psychiatry
-
- Family Medicine Physician
- Sumter, SC
- NPI 1871080283
Hospitalist
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
dba Midlands Crisis Stabilization Center
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
-
dba G. Werber Bryan Psychiatric Hospital
- Psychiatric Hospital
- Columbia, SC
- NPI 1609825264
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1841409760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RICHLAND MEDICAL PARK DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036863",
"telephone_number": "803-434-4800",
"fax_number": "803-434-4878"
}
],
"practiceLocations": [
{
"address_1": "Taylor At Marion",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292200001",
"country_code": "US",
"telephone_number": "803-296-5579",
"fax_number": "803-296-5578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAYNOR",
"first_name": "JEFFREY",
"middle_name": "DONALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "SC",
"license": "29848",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "29848",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "29848",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "298485",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.