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JENNY TATIANA GONZALEZ GUZMAN MD
NPI 1457977563
Family Medicine in Columbia, SC

Active since June 24, 2020PECOS EnrolledAccepts Medicare Assignment
PRISMA HEALTH FAMILY MEDICAL CENTER, 3209 COLONIAL DRIVE, COLUMBIA, SC 29203(803) 434-6113(803) 434-8478 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2024, Jun 24, 2020 (2 updates tracked since 2020).

About Jenny Tatiana Gonzalez Guzman Md NPPES

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

JENNY TATIANA GONZALEZ GUZMAN MD (NPI 1457977563) is an individual family medicine provider in Columbia, South Carolina, licensed in South Carolina (LL84579) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457977563
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNY TATIANA GONZALEZ GUZMANCredential: MD
Location AddressPRISMA HEALTH FAMILY MEDICAL CENTER, 3209 COLONIAL DRIVEColumbia, SC 29203
Mailing AddressPrisma Health Family Medical Center, 3209 Colonial DriveColumbia, SC 29203 · (803) 434-6113 · Fax (803) 434-8478
Phone(803) 434-6113
Fax(803) 434-8478
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 24, 2020
Last NPPES UpdateMay 9, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
✔ NPI 1457977563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · LL84579
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.
PRISMA HEALTH FAMILY MEDICAL CENTER, Columbia, SC 29203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jenny Tatiana Gonzalez Guzman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577009893
PECOS Enrollment IDI20240723003341
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.

Medicare Billing Reassignment

Medicare enrollment records show Jenny Gonzalez Guzman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,075 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jenny Gonzalez Guzman's NPI number?

The NPI number for Jenny Gonzalez Guzman is 1457977563. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Jenny Gonzalez Guzman located?

Jenny Gonzalez Guzman practices at Prisma Health Family Medical Center 3209 Colonial Drive, Columbia, SC 29203. The listed phone number is (803) 434-6113.

What is Jenny Gonzalez Guzman's specialty?

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

Is Jenny Gonzalez Guzman enrolled in Medicare?

Yes. Jenny Gonzalez Guzman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jenny Gonzalez Guzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Gonzalez Guzman reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenny Gonzalez Guzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenny Gonzalez Guzman was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.