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JASMINE EVANNA GREEN D.M.D
NPI 1821731670
Dentist - General Practice in Summerville, SC

Active since April 19, 2022PECOS Enrolled
1099 N MAIN ST STE 102, SUMMERVILLE, SC 29483(843) 536-8577(843) 790-2602 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2024, Apr 19, 2022 (2 updates tracked since 2022).

About Jasmine Evanna Green D.m.d NPPES

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

JASMINE EVANNA GREEN D.M.D (NPI 1821731670) is an individual general practice provider in Summerville, South Carolina, licensed in South Carolina (10793) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821731670
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJASMINE EVANNA GREENCredential: D.M.D
Location Address1099 N MAIN ST STE 102Summerville, SC 29483-7300
Mailing Address107 Upcerne RdSummerville, SC 29485-4075 · (252) 904-8808
Phone(843) 536-8577
Fax(843) 790-2602
Sole ProprietorNo
Enumeration DateApril 19, 2022
Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1821731670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 10793
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1099 N MAIN ST STE 102, Summerville, SC 29483
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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 of North Carolina, Anthem Blue Cross and Blue Shield 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)

Jasmine Evanna Green D.m.d 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 29483 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
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 4

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

ALYSSA GUSTAFSON RDH
Dental Hygienist
1099 N MAIN ST STE 102
SUMMERVILLE, SC 29483
Berkeley County (843) 536-8577
DR. ANDREW KARDOHELY DMD
Dentist (General Practice)
1099 N MAIN ST STE 102
SUMMERVILLE, SC 29483
Berkeley County (843) 536-8577
DR. ABIGAIL RENEE YODER DDS
Dentist (General Practice)
1099 N MAIN ST STE 102
SUMMERVILLE, SC 29483
Berkeley County (843) 536-8577
SUMMERVILLE SMILES DENTAL OFFICE, PC
Dentist (General Practice)
1099 N MAIN ST STE 102
SUMMERVILLE, SC 29483
Berkeley County (843) 536-8577

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 Jasmine Green's NPI number?

The NPI number for Jasmine Green is 1821731670. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Jasmine Green located?

Jasmine Green practices at 1099 N Main St Ste 102, Summerville, SC 29483. The listed phone number is (843) 536-8577.

What is Jasmine Green's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jasmine Green enrolled in Medicare?

Yes. Jasmine Green is registered in the Medicare PECOS enrollment system.

What insurance does Jasmine Green accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 11 other insurers list Jasmine Green 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 Jasmine Green was last updated on July 19, 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.