Jaiwoo Chung, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

84635 Issued in SC

Practice address

Tandem Health
1278 North Lafayette Drive
Sumter, SC 29150

Phone

(803) 774-4500

Fax

(803) 774-4627

NPI assigned

Jun 30, 2020

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Medical College of Georgia School of Medicine, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIHIBD

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.

• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1518074640

  Family Medicine, SC

  Medicare reassignment Care Compare group NPD
• Prisma Health Medical Group-Midlands

  • Multi-Specialty Clinic/Center
  • Columbia, SC
  • NPI 1275988321

  Family Medicine, SC

  Medicare reassignment NPD
• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1225687338

  Family Medicine

  NPD
• Prisma Health Medical Group-Midlands

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1871080283

  Family Medicine

  NPD
• Prisma Health Medical Group-Midlands

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1881469856
  NPD
• Colonial Family Practice - Manning

  • Family Medicine Physician
  • Manning, SC
  • NPI 1689006652

  Family Medicine

  NPD (past)
• Colonial Family Practice & Ambulatory Care Center

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1902229214

  Family Medicine

  NPD (past)
• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Camden, SC
  • NPI 1033402599

  Family Medicine

  NPD (past)
• Colonial Family Practice, LLC

  • Neurology Physician
  • Sumter, SC
  • NPI 1164833026

  Family Medicine

  NPD (past)
• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Manning, SC
  • NPI 1467999326

  Family Medicine

  NPD (past)
• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1497060719

  Family Medicine

  NPD (past)
• Colonial Family Practice, LLC

  • Family Medicine Physician
  • Manning, SC
  • NPI 1508302308

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prisma Health-Midlands

  • General Acute Care Hospital
  • Sumter, SC
  • NPI 1326043548

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1891312468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TANDEM HEALTH",
            "address_2": "1278 NORTH LAFAYETTE DRIVE",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29150",
            "telephone_number": "803-774-4500",
            "fax_number": "803-774-4627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504949",
            "country_code": "US",
            "telephone_number": "803-774-6980",
            "fax_number": "803-434-3955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JAIWOO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "84635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chosen Counseling Services LLC
• Christina H. Brownlow, Otr/L, LLC
• Jacqueline Page Christman, FNP-C
• Christmas Pharmacy LLC
• Steve Christmas, RPH
• Jose Antonio Cintron Sostre, D.M.D.
• Circle of Love Healthcare, LLC
• Deondrae Tyshawn Cisse
• Garrett M Clanton II, MD
• Kelly Clark

• All providers in Sumter, SC
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.

Verify at the official NPI Registry.