NPIMap

Individual provider Active NPI

Jennifer Ferguson, D.O.

  • Internal Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1841743010
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
82106 Issued in SC
Practice address
1000 Johnnie Dodds Blvd Ste 103-303
Mount Pleasant, SC 29464-3135
Phone
(843) 789-9440
NPI assigned
Jul 25, 2016
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 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 Physician 207R00000X 5101022319 MI
Internal Medicine Physician 207R00000X 82106 SC Primary

Addresses

Primary practice location

1000 Johnnie Dodds Blvd Ste 103-303
Mount Pleasant, SC 29464-3135

Mailing address

1000 Johnnie Dodds Blvd Ste 103-303
Mount Pleasant, SC 29464-3135
Phone (843) 789-9440

Other names 1

  • Jennifer Pierce Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190618000945 SC Practitioner - Internal Medicine 5193019495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ferguson Internal Medicine LLCGroup PAC ID 4486010287, 2 clinicians

Practice addresses (Care Compare)

1000 Johnnie Dodds Blvd
Suite 103 303
Mount Pleasant, SC 29464-3135
Phone (843) 789-9440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ferguson Internal Medicine LLC Internal Medicine CurrentSince Mar 30, 2023 Accepting new patients
South Carolina Group Services, LLC CurrentSince Sep 10, 2021 Accepting new patients
Medicos, P.a. Internal Medicine PastSince Feb 11, 2024 Accepting new patients

Locations

1000 Johnnie Dodds Blvd
Ste 103303
Mt Pleasant, SC 29464
Phone (248) 767-2216

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

9181 Medcom St
North Charleston, SC 29406
Phone (843) 820-7767

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jennifer.ferguson.1@28877.direct.athenahealth.com

Organizations & group practices 3

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 7

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1841743010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNNIE DODDS BLVD STE 103-303",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643135",
            "telephone_number": "843-789-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNNIE DODDS BLVD STE 103-303",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643135",
            "telephone_number": "843-789-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JENNIFER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101022319",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "82106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PIERCE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.