NPPES file of Aug 9, 2026

Jai Eun Kim

Nurse Practitioner · West Columbia, SC

Jai Eun Kim is a nurse practitioner with a practice address in West Columbia, South Carolina, and NPI 1609671486, issued on Feb 17, 2025. Check the license (South Carolina 30777, as entered in NPPES) with the South Carolina board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1609671486
Name
Jai Eun Kim
Primary taxonomy
Nurse Practitioner 363L00000X
License number
30777 SC
Self-reported in NPPES; status is on the state search
Practice location
103 Sum Mor Dr, West Columbia, SC 29169
Phone
(803) 254-4699
Enumerated
Feb 17, 2025
Record last updated
Oct 12, 2025
Medicare enrollment
Enrolled (PECOS I20251112003706); may accept Medicare assignment
Medical or professional school
University Of South Carolina School Of Medicine, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 103 Sum Mor Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ryan Bowers, D.C.Chiropractor1679899488
  2. Angelina Dow, APRNFamily Nurse Practitioner1376137745
  3. Nikki Garwood, MSN, FNP-BC,Family Nurse Practitioner1265353577
  4. Daniel Handford, D.C.Chiropractor1619269586
  5. Ashley Hazelrigg, APRNAcute Care Nurse Practitioner1477017606
  6. Adam Henderson, D.C.Chiropractor1598031361

Verify Jai Eun Kim in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
    Search for license 30777
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the South Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Jai Eun Kim among 1,263 nurse practitioner records in South Carolina

Jai Eun Kim is one of 1,263 nurse practitioner records with a practice address in South Carolina. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 91% of them.

  • NPI issued2025 · 91% of these records are older, 3% newer
  • In a Medicare fileNo · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2025 · median 2018 among the 791 with a school on file
  • Record last updated2025 · 39% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

65 nurse practitioner records list a practice address in West Columbia

They are 65 of the 1,887 NPPES records with a practice address in West Columbia, and 1,263 nurse practitioner records in South Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 nurse practitioner records with the nearest ZIP codes

  1. Mallory Anderson, FNP-BCWest Columbia, SC 291691104166255
  2. Melissa Blackmon, NP-CWest Columbia, SC 291691477816668
  3. Amber Green, APRNWest Columbia, SC 291691205987047
  4. Melody Heffline, ACNP-BCWest Columbia, SC 291691538291497
  5. Stephanie Huston, NP-CWest Columbia, SC 291691083963144
  6. Rhonda Johnson, DNP, CNMWest Columbia, SC 291691386606341
  7. Kristin Kaley, ANP-BCWest Columbia, SC 291691093729725
  8. Kathleen Law, APRNWest Columbia, SC 291691700083334

Common questions

What is Jai Eun Kim's NPI number?

Jai Eun Kim's National Provider Identifier (NPI) is 1609671486, issued on Feb 17, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Jai Eun Kim located?

The NPPES record lists a practice address at 103 Sum Mor Dr, West Columbia, SC, 29169. Phone: (803) 254-4699. Providers update this record themselves, so call before visiting.

How can I verify Jai Eun Kim's license?

NPPES lists South Carolina license number 30777, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.