Individual provider Active NPI

Jonathan Nestor, MD

  • Internal Medicine Physician
  • Laurinburg, NC
National Provider Identifier
1154318533
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32548 Issued in NC
Practice address
601 E Launchwood Dr
Laurinburg, NC 28352-5501
Phone
(910) 276-7727
Fax
(910) 277-7439
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32548 NC Primary
Nephrology Physician 207RN0300X 32548 NC

Addresses

Primary practice location

601 E Launchwood Dr
Laurinburg, NC 28352-5501

Mailing address

PO Box 1889
Laurinburg, NC 28353-1889
Phone (910) 276-7727

Other identifiers 3

IdentifierTypeStateIssuer
B925040281OtherSCMEDICAID
13809MedicaidSC
8962164MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041005000025 SC Practitioner - Nephrology 3971401167 Reassigns benefits to 1 organization
I20070608000509 NC Practitioner - NephrologyPractitioner - Internal Medicine 3971401167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Wayne State University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1104 Frank W Evans Way
Fresinius Med Care
Bennettsville, SC 29512-2169
Phone (843) 479-3817

601 Lauchwood Dr
Laurinburg, NC 28352-5510
Phone (910) 276-7727

Hospital & facility affiliations

  • DaVita McColl Dialysis Dialysis facility, McColl, SC, CCN 422640
  • Fmcna Laurinburg Dialysis Center Dialysis facility, Laurinburg, NC, CCN 342540
  • DaVita Maxton Dialysis Dialysis facility, Maxton, NC, CCN 342651
  • Fresenius Medical Care Bennettsville Dialysis facility, Bennettsville, SC, CCN 422520
  • Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15535NCMDInternal Medicine Physician
32548NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Nestor, MD, PA Internal Medicine CurrentSince Jul 11, 1988 Accepting new patients
Scotland Regional Health Network CurrentSince Jan 27, 2012 Accepting new patients
Scotland Regional Health Network CurrentSince Jan 27, 2012 Accepting new patients
Scotland Regional Health Network Internal Medicine Current Accepting new patients

Locations

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

601 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-7727

1104 Frank W Evans Way
Bennettsville, SC 29512
Phone (843) 479-3817

Interoperability endpoints

  • Direct secure messaging: jonathan.nestor@direct.davitaphysiciansolutions.com

Organizations & group practices 4

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 5

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1154318533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1889",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283531889",
            "telephone_number": "910-276-7727",
            "fax_number": "910-277-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E LAUNCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525501",
            "telephone_number": "910-276-7727",
            "fax_number": "910-277-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTOR",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "32548",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "32548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "B925040281",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13809",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8962164",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.