JESSINA THOMAS MD
NPI 1861920860
Pediatrics - Pediatric Gastroenterology in Charleston, SC

NPI Status: Active since June 02, 2017

Contact Information

165 ASHLEY AVE
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-1414

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  • Individual
  • Female
  • Years of Experience 9
  • Pediatrics
  • Pediatric Gastroenterology
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About JESSINA THOMAS

This page provides the complete NPI Profile along with additional information for Jessina Thomas, a pediatrician established in Charleston, South Carolina with a medical specialization in Pediatrics, focusing in pediatric gastroenterology and more than 9 years of experience. She graduated from Oakland Univ, William Beaumont School Of Medicine in 2017. The healthcare provider is registered in the NPI registry with number 1861920860 assigned on June 2017. The practitioner's primary taxonomy code is 2080P0206X with license number U3668 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1861920860
Provider Name
JESSINA THOMAS MD
Gender
Female
Entity Type
Individual
Location Address
165 ASHLEY AVE CHARLESTON, SC 29425
Location Phone
(843) 792-1414
Mailing Address
11901 ABESS BLVD APT 2301 JACKSONVILLE, FL 32225
Mailing Phone
(815) 238-0632
Medical School Name
OAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
06-02-2017
Last Update Date
08-04-2025
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A pediatrician like Jessina Thomas is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Gastroenterology

Taxonomy Code
2080P0206X
Type
Allopathic & Osteopathic Physicians
License No.
U3668
License State
TX
Taxonomy Description
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

LL40975 (SC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • BSW Diabetes Care Gold HMO 014 - HMO
  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Savers Bronze HMO H S A 009 - HMO
  • MyBlue Health Bronze? 402 - HMO
  • MyBlue Health Bronze? Standard - HMO
  • MyBlue Health Gold? 403 - HMO
  • MyBlue Health Gold? Standard - HMO
  • MyBlue Health Silver? 405 - HMO
  • MyBlue Health Silver? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jessina Thomas is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Jessina Thomas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9739455395

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250724002279

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 29425 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $124.04
  • Minimum New Patient Price $53.57
  • Maximum New Patient Price $163.84
  • Average New Patient Copayment $31.01
  • Minimum New Patient Copayment $13.39
  • Maximum New Patient Copayment $40.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.12
  • Minimum Established Patient Price $16.96
  • Maximum Established Patient Price $133.52
  • Average Established Patient Copayment $23.78
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $33.38

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JESSINA THOMAS MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861920860, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 1 + 8 + 2 + 0 + 8 + 1 + 2 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1861920860.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dietitian, Registered
165 ASHLEY AVE, BOX 250905
CHARLESTON, SC 29425
Dietitian, Registered
165 ASHLEY AVE, SUITE 603E
CHARLESTON, SC 29425
Dietitian, Registered
165 ASHLEY AVE
CHARLESTON, SC 29425
Pathology (Anatomic Pathology & Clinical Pathology)
165 ASHLEY AVE, SUITE 309
CHARLESTON, SC 29425
Dietitian, Registered
165 ASHLEY AVE
CHARLESTON, SC 29425
Dietitian, Registered
165 ASHLEY AVE, SUITE EH110
CHARLESTON, SC 29425
Dietitian, Registered (Nutrition, Pediatric)
165 ASHLEY AVE, SUITE EH 1108
CHARLESTON, SC 29425
Nurse Practitioner (Family)
165 ASHLEY AVE
CHARLESTON, SC 29425
Dietitian, Registered (Nutrition, Pediatric)
165 ASHLEY AVE, MSC 905
CHARLESTON, SC 29425
Dietitian, Registered (Nutrition, Pediatric)
165 ASHLEY AVE, SUITE EH1108
CHARLESTON, SC 29425
Dietitian, Registered
165 ASHLEY AVE, STE. EH110B MSC905
CHARLESTON, SC 29425
Dietitian, Registered (Nutrition, Pediatric)
165 ASHLEY AVE, EH 110B, MSC 905
CHARLESTON, SC 29425
Dietitian, Registered
165 ASHLEY AVE, EH110B MSC 290
CHARLESTON, SC 29425
Pediatrics
165 ASHLEY AVE, MSC 561
CHARLESTON, SC 29425
Dietitian, Registered
165 ASHLEY AVE, MSC 905
CHARLESTON, SC 29425
Pediatrics
165 ASHLEY AVE
CHARLESTON, SC 29425
Dietitian, Registered
165 ASHLEY AVE
CHARLESTON, SC 29425
Pediatrics
165 ASHLEY AVE
CHARLESTON, SC 29425
Dietitian, Registered
165 ASHLEY AVE, MSC 905
CHARLESTON, SC 29425
Nurse Practitioner (Pediatrics)
165 ASHLEY AVE
CHARLESTON, SC 29425

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861920860, enumerated as an "individual" on June 02, 2017.

The provider is located at 165 ASHLEY AVE CHARLESTON, SC 29425 and the phone number is (843) 792-1414.

Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.