MRS. JEANINE KHOURY
NPI 1740201417
Nurse Practitioner - Pediatrics in Columbia, SC

Active since July 21, 2006PECOS Enrolled
4605 MONTICELLO RD, COLUMBIA, SC 29203(803) 252-7001(803) 252-5219 Get Directions Write a Review

NPPES record last updated: March 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1740201417
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. JEANINE KHOURY
Location Address4605 MONTICELLO RDColumbia, SC 29203-4156
Mailing Address4605 Monticello RdColumbia, SC 29203-4156 · (803) 252-7001 · Fax (803) 252-5219
Fax(803) 252-5219
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateMarch 1, 2011
NPI 1740201417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in SC · 1215
4605 MONTICELLO RD, Columbia, SC 29203

Accepted 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)

Mrs. Jeanine Khoury 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.

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.

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.

Pediatrics
4605 MONTICELLO RD
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD, EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD, EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC 29203
Nurse Practitioner (Pediatrics)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Clinic/Center (Federally Qualified Health Center (FQHC))
4605 MONTICELLO RD, BLDG A, STE.1
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD
COLUMBIA, SC 29203
Nurse Practitioner (Pediatrics)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Nurse Practitioner (Family)
4605 MONTICELLO RD
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.

What insurance does Jeanine Khoury accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next 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.