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JENNINGS MICHAEL PERRY DNP
NPI 1851684674
Nurse Practitioner - Primary Care in Myrtle Beach, SC

Active since May 26, 2011PECOS Enrolled
1301 48TH AVE N # A-2, MYRTLE BEACH, SC 29577(843) 855-2299 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennings Michael Perry Dnp NPPES

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

JENNINGS MICHAEL PERRY DNP (NPI 1851684674) is an individual primary care provider in Myrtle Beach, South Carolina, licensed in South Carolina (20499) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851684674
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameJENNINGS MICHAEL PERRYCredential: DNP
Location Address1301 48TH AVE N # A-2Myrtle Beach, SC 29577-5427
Mailing Address728 Conifer CtMyrtle Beach, SC 29572-4172 · (614) 203-3515
Phone(843) 855-2299
Sole ProprietorYes
Enumeration DateMay 26, 2011
Last NPPES UpdateFebruary 19, 2025
NPPES CertifiedFebruary 19, 2025
✔ NPI 1851684674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in SC · 20499
Also ListedRegistered NurseTaxonomy 163W00000X · License 353367 (OH)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 17756 (OH)
1301 48TH AVE N # A-2, Myrtle Beach, SC 29577
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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 (PECOS)

Jennings Michael Perry Dnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennings Perry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Acs Primary Care Physicians - Southeast PC
2.9 mi
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 559 clinicians in this Medicare group
NPI 1861430555 (843) 692-1000

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 29577 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

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

REVIVED VITALITY
Clinic/Center
1301 48TH AVE N # A-2
MYRTLE BEACH, SC 29577
Horry County (843) 580-3694

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 Jennings Perry's NPI number?

The NPI number for Jennings Perry is 1851684674. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Where is Jennings Perry located?

Jennings Perry practices at 1301 48th Ave N # A-2, Myrtle Beach, SC 29577. The listed phone number is (843) 855-2299.

What is Jennings Perry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jennings Perry enrolled in Medicare?

Yes. Jennings Perry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennings Perry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennings Perry reassigns Medicare benefits to Acs Primary Care Physicians - Southeast PC (Myrtle Beach, 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 Jennings Perry'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 Jennings Perry was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.