Individual provider Active NPI

Faye D Jennings, NP

  • Family Nurse Practitioner
  • North Augusta, SC
National Provider Identifier
1871285098
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27393 Issued in SC
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230825003181 SC Practitioner - Nurse Practitioner 1456570530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Pruitthealth Hospice IncGroup PAC ID 2264344217, 42 clinicians

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

LicenseStateTypeSpecialty
27393SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pruitthealth Hospice, Inc. Current Accepting new patients
Molina Care Connections, LLC. CurrentSince Aug 28, 2023 Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince May 30, 2025 Accepting new patients
Solace Health Care Services CurrentSince Oct 20, 2024 Accepting new patients
Pruitthealth Hospice, Inc. CurrentSince May 30, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.