Active NPI
Jammie Emerson, NP-C
- Family Nurse Practitioner
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20864
- Practice address
- 8203 Nigels Dr
Myrtle Beach, SC 29572-4177 - Phone
- (843) 491-1630
- NPI assigned
- Mar 28, 2017
- Sex
- Female
- 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 | 20864 | SC | Primary |
Addresses
Primary practice location
8203 Nigels Dr
Myrtle Beach, SC 29572-4177
Mailing address
8203 Nigels Dr
Myrtle Beach, SC 29572-4177
Phone (843) 491-1630
Other practice location 1
1920 2nd Loop Rd
Florence, SC 29501-6123
Phone (864) 626-5991
Other practice location 2
4600 Oleander Dr Ste 1
Myrtle Beach, SC 29577
Phone (843) 497-5323
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20864 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Physician Group LLC | Current | Accepting new patients | |
| Oaktree Medical Centre, PC | Past | Accepting new patients |
Locations
13 Corporate Blvd NE
Ste 100
Brookhaven, GA 30329
Phone (229) 442-7210
3970 Five Forks Trickum Rd SW
#A
Lilburn, GA 30047
Phone (678) 880-4836
7201 Brookfield Rd
Columbia, SC 29223
Phone (678) 505-9657
8203 Nigels Dr
Myrtle Beach, SC 29572
Phone (843) 251-0818
8203 Nigels Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-5848
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 and National Provider Directory roles.
-
- Chiropractor
- Greenville, SC
- NPI 1548247018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1952833279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8203 NIGELS DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724177",
"telephone_number": "843-491-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8203 NIGELS DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724177",
"telephone_number": "843-491-1630"
}
],
"practiceLocations": [
{
"address_1": "1920 2nd Loop Rd",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295016123",
"country_code": "US",
"telephone_number": "864-626-5991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4600 Oleander Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "29577",
"country_code": "US",
"telephone_number": "843-497-5323",
"fax_number": "843-497-5314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMERSON",
"first_name": "JAMMIE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.