Active NPI
Jonathan J Ply, MD
- Ophthalmology Physician
- Charleston, SC
National Provider Identifier
1013976240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 16671
- Practice address
- 512 Wampler Dr
Charleston, SC 29412-9155 - Phone
- (843) 907-7777
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16671 | SC | Primary |
Addresses
Primary practice location
512 Wampler Dr
Charleston, SC 29412-9155
Mailing address
512 Wampler Dr
Charleston, SC 29412-9155
Phone (843) 907-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16671 | SC | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Eye Associates | Ophthalmology | Past | Accepting new patients |
| Atlantic Surgery Center LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Conway, SC
- NPI 1306116256
-
- Ambulatory Surgical Clinic/Center
- Murrells Inlet, SC
- NPI 1790852994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1013976240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 WAMPLER DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294129155",
"telephone_number": "843-907-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 WAMPLER DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294129155",
"telephone_number": "843-907-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLY",
"first_name": "JONATHAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "16671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.