Individual provider Active NPI

Jason Hennessy, FNP-BC

  • Family Nurse Practitioner
  • Duncan, SC
National Provider Identifier
1912423757
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21173 Issued in SC
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

Updated by the provider on Oct 22, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Nov 13, 2017 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 20, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 20, 2025 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Dec 23, 2020 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Oct 11, 2022 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 13, 2017 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Dec 23, 2020 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 13, 2017 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

  • Direct secure messaging: jason.hennessy@myrhc.eclinicaldirectplus.com
  • Direct secure messaging: jhennessy888409@direct.ghs.myhfn.org
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 47

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

View all 47

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 Center 35 clinicians
Prisma Health University Medical Group 2,467 clinicians

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 Hospital, Greenville, SC, CCN 420078
  • Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

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

Verify at the official NPI Registry.