JEFFREY THOMAS EHRETH (MD) – Pediatric Urology Physician, NPI 1962431304
Pediatric Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
417 PEDIATRIC MEDICINE in SC
Loading map...
Provider Addresses for JEFFREY THOMAS EHRETH (MD)
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States
ATLANTA, GA 303743904
Phone: (803) 296-7320
Fax: (803) 296-7330
Type: Mailing
Richland Medical Park Drive, Colonial Heights, Columbia, Richland County, South Carolina, 29220, United States
COLUMBIA, SC 292036870
Phone: (803) 434-2833
Fax: (803) 434-2834
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041229000089 | I | Pediatric Medicine | SC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30374)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| - | GA | |
| Internal Medicine | NC | |
| Physician Assistant | SC | |
| - | SC | |
| H O S P I T A L I S T | GA | |
| Vascular Surgery | FL | |
| - | GA | |
| Interventional Cardiology, Internal Medicine | SC | |
| Orthopedic Surgery | SC |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.