Active NPI
Jason Hennessy, FNP-BC
- Family Nurse Practitioner
- Duncan, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21173
- Practice address
- 500 Squires PT Ste a
Duncan, SC 29334-8867 - Phone
- (864) 968-5126
- Fax
- (864) 968-5128
- NPI assigned
- Aug 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21173 | SC | Primary |
Addresses
Primary practice location
500 Squires PT Ste a
Duncan, SC 29334-8867
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697
Other practice location 1
1604 N Limestone St
Gaffney, SC 29340-2312
Phone (864) 902-1000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180122000072 | SC | Practitioner - Nurse Practitioner | 6103185103 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients |
Locations
500 Squires Pt
#A
Duncan, SC 29334
Phone (864) 433-8980
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
1604 N Limestone St
Gaffney, SC 29340
Phone (864) 488-0332
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817
750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829
301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817
115 Thomas St
#B
Union, SC 29379
Interoperability endpoints
- jason.hennessy@myrhc.eclinicaldirectplus.com
- jhennessy888409@direct.ghs.myhfn.org
- jason.hennessey@myrhc.directbygreenway.com
Organizations & group practices 15
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.
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1194710426
SC
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457745952
SC
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1548528714
SC
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1558946376
SC
-
- Federally Qualified Health Center (FQHC)
- Union, SC
- NPI 1982248852
SC
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457061087
-
- Health Educator
- Greenville, SC
- NPI 1114542081
-
- Diagnostic Radiology Physician
- Greenville, SC
- NPI 1568799955
-
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1730786096
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1881098945
-
- Federally Qualified Health Center (FQHC)
- Duncan, SC
- NPI 1225899594
Hospital & facility affiliations 47
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1396291407
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Carolina School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regenesis Organization Community Health CenterPrisma Health University Medical Group
Practice addresses (Care Compare)
115 Thomas St
Suite B
Union, SC 29379-2147
Phone (864) 582-2411
1604 N Limestone St
Gaffney, SC 29340-2312
Phone (864) 902-1000
220 College St
Spartanburg, SC 29303-3556
Phone (864) 582-2411
301 Crescent Ave
Spartanburg, SC 29306-4143
Phone (864) 582-2817
460 Langdon St
Spartanburg, SC 29302-1614
Phone (864) 504-3628
500 Squires PT
Suite a
Duncan, SC 29334-8867
Phone (864) 968-5126
Hospital & facility affiliations
- Prisma Health Greenville Memorial Hospital
- Prisma Health Greer Memorial Hospital
- Spartanburg Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1912423757",
"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": "864-695-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SQUIRES PT STE A",
"city": "DUNCAN",
"state": "SC",
"postal_code": "293348867",
"telephone_number": "864-968-5126",
"fax_number": "864-968-5128"
}
],
"practiceLocations": [
{
"address_1": "1604 N Limestone St",
"address_purpose": "LOCATION",
"city": "Gaffney",
"state": "SC",
"postal_code": "293402312",
"country_code": "US",
"telephone_number": "864-902-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENNESSY",
"first_name": "JASON",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-14",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "21173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duncan, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.