Active NPI
Faye D Jennings, NP
- Family Nurse Practitioner
- North Augusta, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 27393
- Practice address
- 440 W Martintown Rd Ste 200
North Augusta, SC 29841-6104 - Phone
- (803) 265-5201
- Fax
- (803) 708-0865
- NPI assigned
- May 25, 2023
- Last updated
- May 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 27393 | SC | Primary |
Addresses
Primary practice location
440 W Martintown Rd Ste 200
North Augusta, SC 29841-6104
Mailing address
PO Box 7227
West Columbia, SC 29171-7227
Phone (803) 244-9212
Other practice location 1
101 Medical Cir Ste A
West Columbia, SC 29169-3650
Phone (803) 244-9212
Other practice location 2
550 Silver Bluff Rd
Aiken, SC 29803-6021
Phone (800) 932-2738
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
30 Physician Dr
Aiken, SC 29801-6388
Phone (803) 641-0660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27393 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pruitthealth Hospice, Inc. | Current | Accepting new patients | |
| Molina Care Connections, LLC. | Current | Accepting new patients | |
| Pruitthealth Hospice, Inc. | Current | Accepting new patients | |
| Solace Health Care Services | Current | Accepting new patients | |
| Pruitthealth Hospice, Inc. | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875
30 Physician Dr
Aiken, SC 29801
Phone (803) 339-8214
2051 Elijah Ludd Rd
Ste 1
Florence, SC 29501
Phone (843) 662-8633
4105 Faber Place Dr
Ste 120
North Charleston, SC 29405
Phone (562) 549-3966
Organizations & group practices 5
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.
-
dba PruittHealth Hospice - Anderson
- Community Based Hospice Care Agency
- Anderson, SC
- NPI 1174878342
-
- In Home Supportive Care Agency
- Augusta, GA
- NPI 1871313502
-
dba PruittHealth Hospice - Aiken
- Community Based Hospice Care Agency
- Aiken, SC
- NPI 1417187360
-
dba PruittHealth Hospice - Eastern Carolina
- Community Based Hospice Care Agency
- Greenville, NC
- NPI 1992744361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1871285098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7227",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291717227",
"telephone_number": "803-244-9212",
"fax_number": "803-708-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 W MARTINTOWN RD STE 200",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298416104",
"telephone_number": "803-265-5201",
"fax_number": "803-708-0865"
}
],
"practiceLocations": [
{
"address_1": "101 Medical Cir Ste A",
"address_purpose": "LOCATION",
"city": "West Columbia",
"state": "SC",
"postal_code": "291693650",
"country_code": "US",
"telephone_number": "803-244-9212",
"fax_number": "803-708-0865",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 Silver Bluff Rd",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298036021",
"country_code": "US",
"telephone_number": "800-932-2738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENNINGS",
"first_name": "FAYE",
"middle_name": "D",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-25",
"last_updated": "2024-05-22",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "27393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
- Josef Beethoven Jacobson, D.P.T.
- Victoria James, RN
- Jeffrey N Broder MD (North Augusta Urgent Care Family & Occupational Medicine Center)
- Jeffrey N Broder MD PC (North Agusta Urgent Care Family & Occupational Medicine)
- Millicent Porter Jenkins, FNP-C
- David M Jester, MD
- John M. Newell, III , DMD (Newell Dental)
- John W L Smith OD
- John W.L. Smith OD PA
- Daniel Johnson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.