MS. JENNIFER O GILLIS (NPI# 1407195688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407195688 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER O GILLIS |
| Credential | NP-C |
| Practice Address |
4540 Trenholm Rd Columbia SC 29206-4462 |
| Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
| Practice Telephone | 8037904700 |
| Practice Fax Number | 8037906130 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
18120 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265990147 | Jennifer Ann Gillis | Behavior Technician | 27a Hobson Ave, Wilmington, MA 01887-2059 | 2019-03-09 |
| 1184032278 | Jennifer Gillis | Pharmacist | 11900 Viers Mill Rd, Wheaton, MD 20902 | 2014-08-01 |
| 1962917815 | Jennifer Paige Gillis | Licensed Practical Nurse | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2017-12-13 |
| 1861846974 | Jennifer Gillis | Counselor | 200 Nw 4th St, Bryant, AR 72022 | 2016-04-15 |
| 1780836148 | Jennifer Gillis | Nurse Practitioner | 277 Pleasant St, Ste. 309, Fall River, MA 02721-3005 | 2008-10-16 |
| 1629273719 | Jennifer Gillis | Radiology | 1365 Clifton Rd Ne, Suite C1104, Atlanta, GA 30322-1013 | 2007-06-19 |
| 1437364023 | Jennifer L Gillis | Nurse Practitioner | 51 Health Ln, Warwick, RI 02886-2710 | 2007-05-14 |
| Street Address |
4540 TRENHOLM RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29206-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174506497 | Columbia Medical Group | Internal Medicine | 4540 Trenholm Rd, Columbia, SC 29206-4462 | 2005-11-21 |
| 1669070785 | Lexington Health Inc | Internal Medicine | 4540 Trenholm Rd, Columbia, SC 29206-4462 | 2020-10-12 |
| 1619453602 | Lyndsey M Hughes | Nurse Practitioner | 4540 Trenholm Rd, Columbia, SC 29206-4462 | 2018-07-13 |
| 1497275895 | Mathew Papakyrikos Mazzola | Internal Medicine | 4540 Trenholm Rd, Columbia, SC 29206-4462 | 2017-06-27 |
| 1659449544 | Erik Steven Crook | Internal Medicine | 4540 Trenholm Rd, Columbia, SC 29206-4462 | 2006-12-01 |
| 1326059627 | Huong T Phan | Internal Medicine | 4540 Trenholm Rd, Columbia, SC 29206-4462 | 2006-08-11 |
| 1891755039 | Ruben L Mayer | Internal Medicine | 4540 Trenholm Rd, Columbia, SC 29206-4462 | 2006-03-23 |
| 1225098478 | Stacie K Moore-bowens | Internal Medicine | 4540 Trenholm Rd, Columbia, SC 29206-4462 | 2006-03-23 |
| 1699734483 | Edgar G Deschamps IIi | Internal Medicine | 4540 Trenholm Rd, Columbia, SC 29206-4462 | 2006-03-21 |
| 1306805197 | Edward W Haselden Jr. | Internal Medicine | 4540 Trenholm Rd, Columbia, SC 29206-4462 | 2006-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403720 | Twila Wilson | Adult Companion | 5741 D Imboden Street, Columbia, SC 29206 | 2017-08-21 |
| 1164978961 | Uri Reisman | Social Worker | 3730 Rockbridge Rd, Columbia, SC 29206 | 2016-08-31 |
| 1902237621 | Ronald Patrick Pellicer | Counselor | 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 | 2013-12-05 |
| 1316376791 | Laraine Kim Jenkins | Counselor | 5211 Trenholm Rd, Suite B, Columbia, SC 29206 | 2013-11-05 |
| 1437409802 | Charles B Roman IIi | Pharmacist | 4711-5 Forest Drive, Columbia, SC 29206 | 2012-09-13 |
| 1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
| 1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
| 1144547860 | Alicia K. Harvey | Counselor | 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 | 2010-04-21 |
| 1669703880 | Crystal Coleman | Occupational Therapist | 5234 Circle Dr, Columbia, SC 29206 | 2010-01-28 |
| 1689896938 | Carolina Dental Associates, P.a. | Dentist | 5101 Forest Drive, Columbia, SC 29206 | 2007-05-03 |
| Find all providers in zip 29206 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
| 1780241182 | Adrienne Lendsey Hinton | Nurse Practitioner | 201 Lake Front Dr, Columbia, SC 29212-2422 | 2019-05-22 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1720402753 | Jennifer M Newton | Nurse Practitioner | 795 Old Clemson Rd, Columbia, SC 29229-4203 | 2014-02-11 |
| 1437418258 | Bear Creek Medical Clinic | Nurse Practitioner | 156 Bear Creek Pike, 7 A, Columbia, TN 38401-2288 | 2012-05-14 |
| 1144828468 | Ivy Health Solutions LLC | Nurse Practitioner | 4100 N Main St Ste 201, Columbia, SC 29203-5800 | 2020-10-09 |
| 1932712627 | Porsha Canzater Moore | Nurse Practitioner | 5 Richland Medical Park Dr, Columbia, SC 29203-6863 | 2020-08-24 |
| 1053952457 | Evelynn Marie Pennington | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2019-10-07 |
| 1114452901 | Deidra Willis | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2017-04-29 |
| 1477901452 | Kathy Lynn Onwezen | Nurse Practitioner | 1605 E Broadway Ste 300, Columbia, MO 65201-8023 | 2016-05-31 |
| Find all providers in COLUMBIA | ||||
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| 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.