Jamekia Kotecha Young, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28764 Issued in SC

Practice address

111 Smith Hines Rd
Greenville, SC 29607-5780

Phone

(864) 289-9982

NPI assigned

May 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Careconnectmd South Carolina P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Mount Pleasant, SC
  • NPI 1306565973
  Medicare reassignment NPD
• Physicians Services Group, P.C.

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1700357076
  Medicare reassignment NPD
• Psgsc MSSP, P.C.

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1417839754
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1871333047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 HOLLY DR UNIT D",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012819",
            "telephone_number": "864-384-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SMITH HINES RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075780",
            "telephone_number": "864-289-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JAMEKIA",
        "middle_name": "KOTECHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Jerome Young, MD
• Craig Douglas Young, PHD
• Dale Alexander Young, MD
• Deborah Marie Young, THERAPIST
• Emily Anne Young, MS, SLP
• James L Young Jr., MD
• James Rogers Young II, M.D.
• Lanzi Alexa Young, DPT
• Lillyan R. Young, RBT
• Lindsay Elizabeth Eller Young, MD

• Family Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.