Individual provider Active NPI

Jillian Norris White, DNP

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1902351448
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20322 Issued in SC
Practice address
1711 Clements Ferry Rd Unit 112
Charleston, SC 29492-8717
Phone
(843) 606-7893
Fax
(843) 402-3456
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 20322 SC Primary

Addresses

Primary practice location

1711 Clements Ferry Rd Unit 112
Charleston, SC 29492-8717

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
NP4221MedicaidSC

Other names 1

  • Jillian Norris Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jillian.white@rsfpp.eclinicaldirectplus.com Direct

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
I20161108000478 SC Practitioner - Nurse Practitioner 0446539878 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20322SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Oct 3, 2016 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 2, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Oct 3, 2016 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 2, 2021 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

319 Folly Rd
Charleston, SC 29412
Phone (843) 203-2246

776 Daniel Ellis Dr
Ste 1B
Charleston, SC 29412
Phone (843) 795-0300

1711 Clements Ferry Rd
Unit 112
Charleston, SC 29492
Phone (843) 606-7893

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

1400 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 884-0301

9313 Medical Plaza Dr
Ste 202
North Charleston, SC 29406
Phone (843) 572-1200

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

507 N Laurel St
Summerville, SC 29483
Phone (843) 875-0600

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1902351448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CLEMENTS FERRY RD UNIT 112",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928717",
            "telephone_number": "843-606-7893",
            "fax_number": "843-402-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JILLIAN",
        "middle_name": "NORRIS",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4221",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillian.white@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "1400 Hospital Dr",
            "city": "MT Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294643255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "NORRIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.