Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamison McKenzie Moran

Individual provider Family Nurse Practitioner · NPI 1407601685

Jamison McKenzie Moran is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2024, 2 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

111 Doctor Cir
Columbia, SC 29203-6502
Phone: (800) 491-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 605 Sw Central Ave, Blackshear, GA 31516-2269 — (912) 387-6298
  • 140 Martin Palmer Dr, Brunswick, GA 31523-8285 — (912) 567-6660
  • 304 N Westberry St, Sylvester, GA 31791-2125 — (229) 463-7071

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN259143 (GA)

Record details

NPI number1407601685
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2024
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Columbia