MRS. JEANINE KHOURY
NPI 1740201417
Nurse Practitioner - Pediatrics in Columbia, SC
About Mrs. Jeanine Khoury NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JEANINE KHOURY (NPI 1740201417) is an individual pediatrics provider in Columbia, South Carolina, licensed in South Carolina (1215) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jeanine Khoury is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeanine Khoury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, SC 29203
- Reassigned Medicare billing, South Carolina enrollment
- 145 clinicians in this Medicare group
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.
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.
COLUMBIA, SC 29203
COLUMBIA, SC 29203
COLUMBIA, SC 29203
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 Jeanine Khoury's NPI number?
The NPI number for Jeanine Khoury is 1740201417. It was assigned to this individual provider in the NPPES registry on July 21, 2006.
Where is Jeanine Khoury located?
Jeanine Khoury practices at 4605 Monticello Rd, Columbia, SC 29203. The listed phone number is (803) 252-7001.
What is Jeanine Khoury's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jeanine Khoury enrolled in Medicare?
Yes. Jeanine Khoury is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeanine Khoury's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanine Khoury reassigns Medicare benefits to Eau Claire Cooperative Health Center, Inc. (Columbia, SC). 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 Jeanine Khoury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeanine Khoury accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Jeanine Khoury as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jeanine Khoury was last updated on March 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mrs. Jeanine Khoury · NPI 1740201417
Pediatrics physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1740201417 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 1215 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4605 MONTICELLO RD, Columbia, SC 29203-4156
- **Phone:** (803) 252-7001 · **Fax:** (803) 252-5219
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Eau Claire Cooperative Health Center, Inc. (NPI 1093093346, Columbia, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1740201417) · Data from the CMS NPPES public registry.