JEREMY MICHAEL BYRD (NPI# 1902906712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902906712 |
| Entity Type | Individual |
| Full Name | JEREMY MICHAEL BYRD |
| Practice Address |
727 Se Main St Suite 320 Simpsonville SC 29681-3247 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8644546540 |
| Practice Fax Number | 8644546545 |
| Mailing Telephone | 8647976044 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
28058 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 280582 | 05 | |
| SC | RR MEDICARE | P00801532 | 01 |
| Street Address |
727 SE MAIN ST SUITE 320 |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29681-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013989623 | Debra Ann Wagner | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2006-02-07 |
| 1619420650 | Nicole Elizabeth Welborn | Nurse Practitioner | 727 Se Main St, Suite 320, Simpsonville, SC 29681-3247 | 2016-07-26 |
| 1700248283 | Rebecca Strycharz | Specialist/Technologist | 727 Se Main St, Simpsonville, SC 29681-3247 | 2016-03-24 |
| 1891164224 | John-thomas Carson | Physician Assistant | 727 Se Main St, Suite 220, Simpsonville, SC 29681-3247 | 2015-09-16 |
| 1720476377 | Clarence Blyler Kugler | Physical Therapist | 727 Se Main St, Ste 200, Simpsonville, SC 29681-3247 | 2015-01-06 |
| 1558774331 | Andrew Royalty | Physical Therapist | 727 Se Main St, Ste 200, Simpsonville, SC 29681-3247 | 2014-06-09 |
| 1508281726 | Danielle Elizabeth Lacelle | Physical Therapist | 727 Se Main St, Ste 200, Simpsonville, SC 29681-3247 | 2014-02-25 |
| 1134551989 | Hannah Marie Fox | Physical Therapist | 727 Se Main St, Ste 200, Simpsonville, SC 29681-3247 | 2013-08-04 |
| 1528406550 | Renee Darlene Joseph | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2013-06-12 |
| 1659612703 | Adam Ridgdell | Physical Therapist | 727 Se Main St, Ste 200, Simpsonville, SC 29681-3247 | 2013-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1194206540 | Lynnette Kathleen Beyerle | Nurse Practitioner | 227 N Main Street, Simpsonville, SC 29681 | 2018-08-23 |
| 1477030070 | Mena M Melek | Pharmacist | 115 Sc-14, Simpsonville, SC 29681 | 2018-07-26 |
| 1437673423 | Abby Elizabeth Meagher | Nurse Practitioner | 1338 South Carolina Highway 14, Simpsonville, SC 29681 | 2017-08-01 |
| 1326586447 | Brooke Huffman | Speech-Language Pathologist | 5 Moorgate Dr, Simpsonville, SC 29681 | 2017-02-09 |
| 1053869818 | A Ray of Sunshine | Home Health | 216 Chickamauga Ln, Simpsonville, SC 29681 | 2016-09-21 |
| 1679924195 | Guardian Angels of The Upstate | Licensed Practical Nurse | 117 Fairview Pointe Dr, Simpsonville, SC 29681 | 2016-06-27 |
| 1033560552 | Jimetta Littlejohn | Licensed Practical Nurse | 117 Fairview Pointe Drive, Simpsonville, SC 29681 | 2016-06-27 |
| 1932597473 | Peace and Comfort Care LLC, Home Health | Home Health | 3106 Bethel Rd Unit 55, Simpsonvill, SC 29681 | 2015-01-07 |
| 1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
| Find all providers in zip 29681 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922235787 | Candice A Thornton | Internal Medicine | 300 Scuffletown Rd, Simpsonville, SC 29681-7204 | 2009-06-18 |
| 1851550487 | Carole Irene Mercer | Internal Medicine | 312 Harrison Bridge Rd, Simpsonville, SC 29680 | 2008-06-09 |
| 1306946561 | Heather Alexis Moreira | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2006-09-25 |
| 1396845103 | Stefanie Marie Putnam | Internal Medicine | 727 Se Main St, Suite 300, Simpsonville, SC 29681-3247 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295856557 | Gossie Colette Heath Mathis | Internal Medicine | 130 Plaza Cir, Santee, SC 29142-9630 | 2007-04-03 |
| 1790781938 | Indra Sriram | Internal Medicine | 168 Carolina Ridge Dr, Columbia, SC 29229-7396 | 2005-06-22 |
| 1104025782 | Prishal Chetty Holloway | Internal Medicine | 1228 Harden St, Columbia, SC 29204-1800 | 2007-07-13 |
| 1467551788 | Jeffrey Austin Gerac | Internal Medicine | 701 Grove Rd, 5th Floor, Greenville, SC 29605-5611 | 2006-09-22 |
| City | SIMPSONVILLE |
| Zip Code | 29681 |
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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.