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JAMISON CONSULTANTS LLC NPI 1689219800


NPI Information

NPI: 1689219800
Provider Name: JAMISON CONSULTANTS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 42D2053105

Address:
1875 N PARIS AVE
PORT ROYAL, SC
ZIP 29935
Phone: (843) 379-9600
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JAMISON CONSULTANTS, LLC is a pediatrics in Port Royal, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. JAMISON CONSULTANTS, LLC NPI is 1689219800. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1875 N PARIS AVE
PORT ROYAL, SC
ZIP 29935-029
Phone: (843) 379-9600
Fax: (843) 379-9605

The provider's authorized official is Shameka Mishoe Morrison .
The authorized official title is Credentialist Specialsit and has the following contact phone number (843) 455-6141.

The CLIA number assigned to this NPI record is 42D2053105 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2019 and was last updated on 11/1/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
22080A0000XPediatricsAdolescent MedicineNo
32080I0007XPediatricsClinical & Laboratory ImmunologyNo
4253Z00000XIn Home Supportive CareNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
6261QU0200XClinic/CenterUrgent CareNo
7291U00000XClinical Medical LaboratoryNo
8363LF0000XNurse PractitionerFamilyNo
9208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GPB154MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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