NPIMap

Individual provider Active NPI

Jonathan Edward Parrack, D.O.

  • Gastroenterology Physician
  • Mt Pleasant, SC
National Provider Identifier
1043453046
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
87828 Issued in SC
Practice address
1300 Hospital Dr Ste 300
Mt Pleasant, SC 29464-3217
Phone
(843) 884-5200
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO1692 NV
Gastroenterology Physician 207RG0100X 006486 AZ
Gastroenterology Physician 207RG0100X 87828 SC Primary

Addresses

Primary practice location

1300 Hospital Dr Ste 300
Mt Pleasant, SC 29464-3217

Mailing address

PO Box 37642
Belfast, ME 04915-1218

Other practice location 1

1441 Wilkins Cir
Casper, WY 82601-1337
Phone (307) 233-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190125002386 WY Practitioner - Gastroenterology 7214257898 Reassigns benefits to 1 organization
I20221117003064 SC Practitioner - GastroenterologyPractitioner - Internal Medicine 7214257898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Cooper Physician Group LLC 126 clinicians

Practice addresses (Care Compare)

1300 Hospital Dr
Suite 300
Mt Pleasant, SC 29464-3217
Phone (843) 884-5200

2000 Hospital Dr
Mount Pleasant, SC 29464-3764
Phone (843) 881-0100

851 Leonard Fulghum Dr
Mt Pleasant, SC 29464-3793

Hospital & facility affiliations

  • Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
80.11
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy166
Upper gastrointestinal (GI) endoscopy for acid reflux146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO1692NVMDInternal Medicine Physician
006486AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Cooper Physician Group LLC Internal Medicine Current Accepting new patients
East Cooper Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
East Cooper Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
East Cooper Physician Group LLC Internal Medicine Past Accepting new patients

Locations

851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133

1300 Hospital Dr
Ste 300
Mt Pleasant, SC 29464
Phone (803) 884-5200

3400 Salterbeck St
Ste 100B
Mt Pleasant, SC 29466
Phone (843) 856-3262

Interoperability endpoints

  • Direct secure messaging: jparrack@yourcarecommunity.org
  • Direct secure messaging: jonathan.parrack.1@30548.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1043453046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37642",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 300",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643217",
            "telephone_number": "843-884-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Wilkins Cir",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826011337",
            "country_code": "US",
            "telephone_number": "307-233-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRACK",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO1692",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "006486",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "87828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.