Active NPI
Herold Nazon, M.D.
- Family Medicine Physician
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- SC12512
- Practice address
- 410 N Main St
Summerville, SC 29483-6420 - Phone
- (843) 871-3277
- Fax
- (843) 871-3360
- NPI assigned
- Nov 13, 2007
- Last updated
- Nov 7, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | SC12512 | SC | Primary |
Addresses
Primary practice location
410 N Main St
Summerville, SC 29483-6420
Mailing address
PO Box 749306
Atlanta, GA 30374-9306
Phone (843) 871-3277
Other practice location 1
1455 Remount Rd
Suite 1A & 1B
North Charleston, SC 29406-3355
Phone (843) 745-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2608 | Medicaid | SC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Icahn School of Medicine at Mount Sinai, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
410 N Main St
Summerville, SC 29483-6420
Phone (843) 871-3277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC12512 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Urgent Cares LLC | Family Medicine | Current | Accepting new patients |
| Palmetto Family Care | Family Medicine | Past | Accepting new patients |
Locations
6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484
100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055
1748 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 536-0613
410 N Main St
Summerville, SC 29483
Phone (843) 871-3277
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Novant Health Urgent Care
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1841026382
Family Medicine
-
- Family Medicine Physician
- North Charleston, SC
- NPI 1790765972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1184804536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749306",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749306",
"telephone_number": "843-871-3277",
"fax_number": "843-871-3360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N MAIN ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836420",
"telephone_number": "843-871-3277",
"fax_number": "843-871-3360"
}
],
"practiceLocations": [
{
"address_1": "1455 Remount Rd",
"address_2": "Suite 1A & 1B",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "294063355",
"country_code": "US",
"telephone_number": "843-745-9990",
"fax_number": "843-745-0008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAZON",
"first_name": "HEROLD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-13",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "SC12512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2608",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.