Jonah Lee Gonce
Individual provider Active NPI Nurse Practitioner · Ninety Six, SC
NPI 1114834553 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1114834553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 32621 (SC)
- Practice address
- 307 Sirrine St
Ninety Six, SC 29666-1252 - Phone
- (864) 321-2508
- NPI assigned
- Aug 24, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 32621 | SC | Yes |
Addresses
Primary practice location
307 Sirrine St
Ninety Six, SC 29666-1252
Mailing address
307 Sirrine St
Ninety Six, SC 29666-1252
Phone (864) 321-2508
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- Reid D. Castellone
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- Emma Laney Gammons
- Greenwood School District 52
- Sandra Griffin
- Kerianne Hammond
- Susan J Hardesty
- Home Care Medical AIDS Inc of Ninety Six
All providers in Ninety Six, SC · Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.