Individual provider Active NPI

Jonah Lee Gonce

  • Family Nurse Practitioner
  • Greenwood, SC
National Provider Identifier
1114834553
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32621 Issued in SC
Practice address
116 Venture CT
Greenwood, SC 29649-8558
Phone
(864) 725-5594
Fax
(864) 725-5598
NPI assigned
Aug 24, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32621 SC Primary
Nurse Practitioner 363L00000X 32621 SC

Addresses

Primary practice location

116 Venture CT
Greenwood, SC 29649-8558

Mailing address

307 Sirrine St
Ninety Six, SC 29666-1252
Phone (864) 321-2508

Other practice location 1

307 Sirrine St
Ninety Six, SC 29666-1252
Phone (864) 321-2508

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

State licenses

LicenseStateTypeSpecialty
32621SCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1114834553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SIRRINE ST",
            "city": "NINETY SIX",
            "state": "SC",
            "postal_code": "296661252",
            "telephone_number": "864-321-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 VENTURE CT",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296498558",
            "telephone_number": "864-725-5594",
            "fax_number": "864-725-5598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Sirrine St",
            "address_purpose": "LOCATION",
            "city": "Ninety Six",
            "state": "SC",
            "postal_code": "296661252",
            "country_code": "US",
            "telephone_number": "864-321-2508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONCE",
        "first_name": "JONAH",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "32621",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "32621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.