LISA D JENNINGS (NPI# 1255324190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255324190 |
| Entity Type | Individual |
| Full Name | LISA D JENNINGS |
| Credential | MD |
| Practice Address |
219a N Mine St Mc Cormick SC 29835-8363 |
| Mailing Address |
313 Main St Suite B Greenwood SC 29646-2757 |
| Practice Telephone | 8648523336 |
| Practice Fax Number | 8648523339 |
| Mailing Telephone | 8643880301 |
| Mailing Fax Number | 8643880648 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2013-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 053559 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 166197103A | 05 | |
| GA | 166197103C | 05 | |
| GA | 166197103B | 05 | |
| GA | 166197103D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952887457 | Lisa Marasti Jennings | Case Manager/Care Coordinator | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-07-17 |
| 1881052876 | Lisa Marie Jennings | Counselor | 548 Se Jackson St, Roseburg, OR 97470-2709 | 2016-02-04 |
| 1053755124 | Lisa Marie Jennings | Social Worker | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2013-04-19 |
| 1396098653 | Lisa Renee Jennings | Dental Hygienist | 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 | 2012-10-23 |
| 1013248004 | Lisa Ann Jennings | Nurse Practitioner | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | 2010-01-15 |
| Street Address |
219A N MINE ST |
| City | MC CORMICK |
| State | SC |
| Zip Code | 29835-8363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528408051 | Casie Brooke Anderson | Nurse Practitioner | 219a N Mine St, Mc Cormick, SC 29835-8363 | 2013-06-28 |
| 1427080902 | Ashley C Wiggins | Family Medicine | 219a N Mine St, Mc Cormick, SC 29835-8363 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528609948 | Tontalia Williams | Technician | 108 Oak Street, Mccormick, SC 29835 | 2019-10-07 |
| 1275095580 | Ohio Valley Physicians Inc | Family Medicine | 504 North Mine St, Mccormick, SC 29835 | 2019-04-04 |
| 1992904536 | Robert Jay Lagroon | Dentist | 791 Hwy 7, Mccormick, SC 29835 | 2007-07-13 |
| 1063545119 | Carolina Health Centers, Inc. | Clinic/Center | 219a North Mine Street, Mccormick, SC 29835 | 2007-03-14 |
| 1336272400 | Carolina Health Centers | Dentist | 219b North Mine Street, Mccormick, SC 29835 | 2007-03-14 |
| 1245329143 | Carrie Gwennette Motes | Counselor | 202 Hwy. 28 North, Mccormick, SC 29835 | 2006-10-11 |
| 1437259207 | Pearl Blair-aiken | Social Worker | 209 Peachtree Street, Mccormick, SC 29835 | 2006-09-22 |
| 1710082391 | Susan Elizabeth Davis | Counselor | 202 Mine Street, Mccormick, SC 29835 | 2006-09-14 |
| 1851308456 | Savannah Heights Living Center, LLC | Skilled Nursing Facility | 1 Holiday Rd, Mccormick, SC 29835 | 2006-08-03 |
| 1134159171 | Robert J Kellett | Family Medicine | 219-a North Mine Street, Mccormick, SC 29835 | 2006-07-04 |
| Find all providers in zip 29835 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730122540 | Jasen D. Rowles | Family Medicine | 207 Holiday Rd, Mc Cormick, SC 29835-3430 | 2006-06-13 |
| 1194855346 | Gene E Floyd Jr. | Family Medicine | 219 N Mine St, Mc Cormick, SC 29835-8363 | 2007-03-06 |
| 1427080902 | Ashley C Wiggins | Family Medicine | 219a N Mine St, Mc Cormick, SC 29835-8363 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495841 | Neuro Health Sc LLC | Family Medicine | 108 Commons Blvd Ste A, Piedmont, SC 29673-7766 | 2020-10-21 |
| 1811595499 | Laura Coolidge | Family Medicine | 1528 Seacroft Rd, Charleston, SC 29412-8113 | 2020-10-15 |
| 1154928570 | Lexington Health Inc | Family Medicine | 146 E Hospital Dr Ste 500, West Columbia, SC 29169-4842 | 2020-10-08 |
| 1477150340 | Meghan Hodapp | Family Medicine | 623 Awendaw Lakes Blvd, Awendaw, SC 29429-6407 | 2020-10-05 |
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | MC CORMICK |
| Zip Code | 29835 |
Please comment or provide details below to improve the information on LISA D JENNINGS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.