LISA D JENNINGS MD
NPI 1255324190
Family Medicine in Mc Cormick, SC

Active since August 25, 2005
219A N MINE ST, MC CORMICK, SC 29835(864) 852-3336(864) 852-3339 Get Directions Write a Review

NPPES record last updated: September 18, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa D Jennings Md NPPES

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

LISA D JENNINGS MD (NPI 1255324190) is an individual family medicine provider in Mc Cormick, South Carolina, licensed in Georgia (053559) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1255324190
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISA D JENNINGSCredential: MD
Location Address219A N MINE STMc Cormick, SC 29835-8363
Mailing Address313 Main St, Suite BGreenwood, SC 29646-2757 · (864) 388-0301 · Fax (864) 388-0648
Fax(864) 852-3339
Sole ProprietorNo
Enumeration DateAugust 25, 2005
Last NPPES UpdateSeptember 18, 2013
NPI 1255324190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 053559
Definition

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.

219A N MINE ST, Mc Cormick, SC 29835

Other Identifiers 7

Medicare UPING55509
Medicare ID-Type Unspecified08BBRWM
Medicaid166197103AGA
Medicaid166197103CGA
Medicare ID-Type UnspecifiedGRP1619
Medicaid166197103BGA
Medicaid166197103DGA

Other Providers at the Same Location NPPES

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

Family Medicine
219A N MINE ST
MC CORMICK, SC 29835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Jennings's NPI number?

The NPI number for Lisa Jennings is 1255324190. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Lisa Jennings located?

Lisa Jennings practices at 219A N Mine St, Mc Cormick, SC 29835. The listed phone number is (864) 852-3336.

What is Lisa Jennings's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lisa Jennings was last updated on September 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.