Active NPI
Jonathan Stephens, PA-C
- Surgical Physician Assistant
- Conway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 6378
- Practice address
- 2376 Cypress Cir Ste 300
Conway, SC 29526-8995 - Phone
- (843) 347-8041
- NPI assigned
- Jul 16, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 025354 | NY | |
| Surgical Physician Assistant | 363AS0400X | 6378 | SC | Primary |
Addresses
Primary practice location
2376 Cypress Cir Ste 300
Conway, SC 29526-8995
Mailing address
300 Singleton Ridge Rd
Att PNS Credentialing
Conway, SC 29526-9142
Phone (843) 234-6996
Other practice location 1
6010 Highway 707 Ste 300
Myrtle Beach, SC 29588-7321
Phone (843) 347-8041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8975PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1015 Arthur J Moore
St Simons, GA 31522-2206
1015 Arthur J Moore Dr
St Simons Is, GA 31522-2206
Phone (912) 694-0023
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025354 | NY | MD | General Practice Dentistry |
Interoperability endpoints
- jonathan.stephens.1@30576.direct.athenahealth.com
- jstephens789200@direct.trinity-health.org
Organizations & group practices 1
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.
-
dba Topp Spine and Orthopaedics
- Medical Specialty Clinic/Center
- St Simons Island, GA
- NPI 1447029384
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Georgia Health System - Brunswick Campus
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1114535077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"address_2": "ATT PNS CREDENTIALING",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142",
"telephone_number": "843-234-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2376 CYPRESS CIR STE 300",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268995",
"telephone_number": "843-347-8041"
}
],
"practiceLocations": [
{
"address_1": "6010 Highway 707 Ste 300",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295887321",
"country_code": "US",
"telephone_number": "843-347-8041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-16",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "025354",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "6378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8975PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.