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

Jeevan Paul

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588449797

Jeevan Paul is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2023, 3 years ago. Practices with MUSC Community Physicians, a 1,339-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1021 Pinnacle Point Dr Ste 200
Columbia, SC 29223-5740
Phone: (803) 409-7150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 Gateway Corporate Blvd, Columbia, SC 29203-9611 — (803) 409-7150

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 28726 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588449797
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 18, 2024
Certification dateAugust 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Musc Community Physicians — 1339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia