JENNIFER KINWA POON MD
NPI 1013114263
Pediatrics - Developmental - Behavioral Pediatrics in Charleston, SC

Q: What is Jennifer Poon's NPI number?

The NPI number for Jennifer Poon is 1013114263. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Q: What is Jennifer Poon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Poon was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2007PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Kinwa Poon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER KINWA POON MD (NPI 1013114263) is an individual developmental - behavioral pediatrics provider in Charleston, South Carolina, licensed in South Carolina (30795) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013114263

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameJENNIFER KINWA POONCredential: MD

Location Address171 ASHLEY AVECharleston, SC 29425-8903

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200

Phone(843) 792-1414

Sole ProprietorNo

Enumeration DateJune 29, 2007

Last NPPES UpdateOctober 14, 2020

NPPES CertifiedOctober 14, 2020

✔ NPI 1013114263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in SC · 30795

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 30795 (SC)

171 ASHLEY AVE, Charleston, SC 29425

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Kinwa Poon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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