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

Jill Bell Shirley

Individual provider Family Nurse Practitioner · NPI 1124682315

Jill Bell Shirley is a Nurse Practitioner in Greenwood, South Carolina. Qualified in 2019, 7 years ago. Practices with Self Medical Group, a 396-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
In the registry since
2019
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Practice location Address checks out

105 Vinecrest Ct Ste 1000
Greenwood, SC 29646-8031
Phone: (864) 725-3350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22809 (SC)

Record details

NPI number1124682315
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESApril 24, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenwood