Individual provider Active NPI

Jennings G Pressly, M.D.

  • Diagnostic Radiology Physician
  • Simpsonville, SC
National Provider Identifier
1871798660
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7489 Issued in SC
Practice address
110 Hospital Dr # B
Simpsonville, SC 29681-3226
Phone
(864) 228-0355
Fax
(864) 228-4827
NPI assigned
Jun 20, 2007
Last updated
Feb 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 7489 SC
Neuroradiology Physician 2085N0700X 7489 SC
Nuclear Radiology Physician 2085N0904X 7489 SC
Nuclear Radiology Physician 2085N0904X 19641 NC
Diagnostic Radiology Physician 2085R0202X 7489 SC Primary
Diagnostic Radiology Physician 2085R0202X 19641 NC
Therapeutic Radiology Physician 2085R0203X 7489 SC
Therapeutic Radiology Physician 2085R0203X 19641 NC
Vascular & Interventional Radiology Physician 2085R0204X 7489 SC
Vascular & Interventional Radiology Physician 2085R0204X 19641 NC
Diagnostic Ultrasound Physician 2085U0001X 7489 SC
Diagnostic Ultrasound Physician 2085U0001X 19641 NC
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 7489 SC
Hospice and Palliative Medicine (Radiology) Physician 2085H0002X 7489 SC

Addresses

Primary practice location

110 Hospital Dr # B
Simpsonville, SC 29681-3226

Mailing address

PO Box 669
Simpsonville, SC 29681-0669
Phone (864) 228-2303

Other identifiers 4

IdentifierTypeStateIssuer
891337UMedicaidNC
1337UOtherNCBCBS NC
074895MedicaidSC
570919974OtherSCBCBS SC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7489SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Innervision Inc Diagnostic Neuroimaging Past Accepting new patients

Organizations & group practices 2

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1871798660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296810669",
            "telephone_number": "864-228-2303",
            "fax_number": "864-228-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR # B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813226",
            "telephone_number": "864-228-0355",
            "fax_number": "864-228-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSLY",
        "first_name": "JENNINGS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "SC",
            "license": "7489",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "SC",
            "license": "7489",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "SC",
            "license": "7489",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NC",
            "license": "19641",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "7489",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "19641",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "SC",
            "license": "7489",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NC",
            "license": "19641",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "7489",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "19641",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "SC",
            "license": "7489",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NC",
            "license": "19641",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "SC",
            "license": "7489",
            "primary": false
        },
        {
            "code": "2085H0002X",
            "taxonomy_group": "",
            "desc": "Radiology, Hospice and Palliative Medicine",
            "state": "SC",
            "license": "7489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891337U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1337U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074895",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SC",
            "identifier": "570919974",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.