Jennifer E Peelman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1814 Issued in SC

Practice address

370 S Herlong Ave
Suite 200
Rock Hill, SC 29732-1160

Phone

(803) 980-5864

Fax

(803) 980-5817

NPI assigned

Oct 10, 2012

Sex

Female

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Affinity Health Center

  • Federally Qualified Health Center (FQHC)
  • Rock Hill, SC
  • NPI 1396881066
  Medicare reassignment NPD
• Southeast Pulmonary and Critical Care LLC

  • Medical Specialty Clinic/Center
  • Rock Hill, SC
  • NPI 1275830507
  Medicare reassignment
• Affinity Health Center

  • Federally Qualified Health Center (FQHC)
  • Rock Hill, SC
  • NPI 1679350391
  NPD

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1992057285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 S HERLONG AVE",
            "address_2": "SUITE 200",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321160",
            "telephone_number": "803-980-5864",
            "fax_number": "803-980-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S HERLONG AVE",
            "address_2": "SUITE 200",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321160",
            "telephone_number": "803-980-5864",
            "fax_number": "803-980-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEELMAN",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Gloria Payne, PHARMD
• Jane Pearson, RN
• Celeste M Peddy
• Pediatric Eye Care & Strabismus, P.C.
• Pedo Carolina, Inc.
• Alphonso Peeples, DDS
• Joy Pendarvis, CF-SLP
• Amanda Marie Pennington, M.D.
• Larry H Pennington, MD
• Morgan Whitesides Pennington, FNP-BC

• Medical Physician Assistant in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.

Verify at the official NPI Registry.