JARED MUGABE KIDDOE M.D.
NPI 1972761047
Psychiatry & Neurology - Psychiatry in Anderson, SC

Q: What is Jared Kiddoe's NPI number?

The NPI number for Jared Kiddoe is 1972761047. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Q: What is Jared Kiddoe's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jared Kiddoe was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 27, 2008PECOS Enrolled

200 MCGEE RD, ANDERSON, SC 29625(828) 651-6593 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2026, Jan 24, 2022, May 12, 2016 (3 updates tracked since 2016).

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About Jared Mugabe Kiddoe M.d. NPPES

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

JARED MUGABE KIDDOE M.D. (NPI 1972761047) is an individual psychiatry provider in Anderson, South Carolina, licensed in North Carolina (2012-01144) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Suwanee.

NPPES Registry Identity

NPI1972761047

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJARED MUGABE KIDDOECredential: M.D.

Location Address200 MCGEE RDAnderson, SC 29625-2104

Mailing Address200 Mcgee RdAnderson, SC 29625-2104 · (864) 260-2220

Phone(828) 651-6593

Sole ProprietorNo

Enumeration DateMay 27, 2008

Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1972761047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NC · 2012-01144

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 91644 (SC), ME114778 (FL), 2012-01144 (NC)

200 MCGEE RD, Anderson, SC 29625

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Secondary Practice Location 1

Location 11070 Swan Mill CtSuwanee, GA 30024-2819 · Phone (919) 666-8546

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Mugabe Kiddoe 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.

Medicare Billing Reassignment

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

The Southeast Permanente Medical Group

108 mi

Internal Medicine

3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305

Reassigned Medicare billing, Georgia enrollment
1,389 clinicians in this Medicare group

NPI 1245266956 (404) 364-3821

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 29625 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

$163.84 typical visit price

range $53.57 – $163.84

Typical copayment $40.96 (range $13.39 – $40.96)

Most-billed visit code 99205

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 20

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

MS. ERIN P HOLTZCLAW

Counselor (Mental Health)