Robert Edwin Jones IV, CAA

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

AA45 Issued in SC

Practice address

809 82ND Pkwy
Myrtle Beach, SC 29572-4607

Phone

(843) 692-1000

NPI assigned

Jun 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Anesthesiology Assistant

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Coast Anesthesia Services PCGroup PAC ID 3971887167, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

Locations

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.

• Atlantic Coast Anesthesia Services P.C.

  • Anesthesiology Physician
  • Myrtle Beach, SC
  • NPI 1932641313
  Medicare reassignment Care Compare group NPD
• Beach Anesthesia, LLC

  • Anesthesiology Physician
  • Myrtle Beach, SC
  • NPI 1215061429
  Medicare reassignment NPD

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

• Grand Strand Regional Medical Center LLC

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669
  Care Compare affiliation

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1053606111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 26TH AVE N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822106",
            "telephone_number": "843-513-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-692-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROBERT",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "CAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "SC",
            "license": "AA45",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destini Jones
• June Jones, FNP
• Marla L Jones, RN
• Michelle Lynn Jones, CRNA
• Nathan Patrick Jones, M.D.
• Trevor Jones, DC
• William Byron Jones, CCC-SLP
• Zaundra E. Jones, M.D.
• Erik Jon Jonsson
• Joyce Nelson Jordan

• Anesthesiologist Assistant in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Anesthesiologist Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.