Betty A Jones, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16518 Issued in SC

Practice address

1608 N Main Street
Conway, SC 29526-3572

Phone

(843) 386-3573

Fax

(843) 386-2617

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• St James Health and Wellness Inc

  • Federally Qualified Health Center (FQHC)
  • Georgetown, SC
  • NPI 1366568594

  SC

  Medicare reassignment NPD
• St James Health and Wellness Inc

  • Federally Qualified Health Center (FQHC)
  • MC Clellanville, SC
  • NPI 1588618441
  NPD
• St. James Health and Wellness Inc.

  • Federally Qualified Health Center (FQHC)
  • Georgetown, SC
  • NPI 1962250258
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1164529525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263572",
            "telephone_number": "843-248-4700",
            "fax_number": "843-248-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 N MAIN STREET",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263572",
            "telephone_number": "843-386-3573",
            "fax_number": "843-386-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BETTY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "16518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Johnson
• Tamar Lashay Johnson, MA
• Tommy Johnson Jr.
• Madison Lynn Johnston
• Mac Everett Jolly, DO
• Donald Carter Jones, M.D.
• Lavenia Jones
• Lauren Grace Joosten, LISW-CP
• Rebecca Jane Jordan
• Jesu Vijay Sheldon Joseph Michael Raj, M.D.

• All providers in Conway, SC
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.