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JADE HAZEL PACK
NPI 1992511216
Nurse Practitioner - Family in Manning, SC

Active since December 10, 2024PECOS EnrolledAccepts Medicare Assignment
107 SUNSET DR, MANNING, SC 29102(803) 435-4447 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Dec 10, 2024 (2 updates tracked since 2024).

About Jade Hazel Pack NPPES

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

JADE HAZEL PACK (NPI 1992511216) is an individual family provider in Manning, South Carolina, licensed in South Carolina (29972) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Mcleod Health Clarendon, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1992511216
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJADE HAZEL PACK
Location Address107 SUNSET DRManning, SC 29102-2904
Mailing Address1615 Zoar Church RdSumter, SC 29153-9180 · (803) 464-8697
Phone(803) 435-4447
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 10, 2024
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1992511216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 29972
Also ListedRegistered NurseTaxonomy 163W00000X · License 263902 (SC)
107 SUNSET DR, Manning, SC 29102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jade Hazel Pack is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618456864
PECOS Enrollment IDI20260208000209
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mcleod Health Clarendon

Acute Care Hospitals · Manning, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420109
Location10 East Hospital StreetManning, SC 29102 · Clarendon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29102 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 4

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

MARVA DENISE WILLIAMS MD
Family Medicine
107 SUNSET DR
MANNING, SC 29102
Clarendon County (803) 435-4447
CLARENDON HEALTH AND WELLNESS CENTER
Family Medicine
107 SUNSET DR
MANNING, SC 29102
Clarendon County (803) 435-4447
DR. GEORGE R JONES M.D.
Family Medicine
107 SUNSET DR
MANNING, SC 29102
Clarendon County (803) 435-4447
CAROLINA FAMILY PRACTICE
Family Medicine
107 SUNSET DR
MANNING, SC 29102
Clarendon County (803) 435-4447

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 Jade Pack's NPI number?

The NPI number for Jade Pack is 1992511216. It was assigned to this individual provider in the NPPES registry on December 10, 2024.

Where is Jade Pack located?

Jade Pack practices at 107 Sunset Dr, Manning, SC 29102. The listed phone number is (803) 435-4447.

What is Jade Pack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jade Pack enrolled in Medicare?

Yes. Jade Pack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jade Pack affiliated with any hospitals?

According to CMS data, Jade Pack is affiliated with Mcleod Health Clarendon.

When was this NPI record last updated?

The NPPES record for Jade Pack was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.