NPIMap

Individual provider Active NPI

John Gould III, DO

  • Internal Medicine Physician
  • Irmo, SC
National Provider Identifier
1215922091
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00632 Issued in SC
Practice address
7430 College St
Irmo, SC 29063-2903
Phone
(839) 200-7810
Fax
(803) 891-7085
NPI assigned
Sep 16, 2005
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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 00632 SC Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 632 SC

Addresses

Primary practice location

7430 College St
Irmo, SC 29063-2903

Mailing address

7430 College St
Irmo, SC 29063-2903
Phone (839) 200-7810

Other identifiers 1

IdentifierTypeStateIssuer
006326MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526000986 SC Practitioner - Internal MedicinePractitioner - Hospitalist 0345221297 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Philadelphia College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7430 College St
Irmo, SC 29063-2903
Phone (839) 200-7810

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00632SCMDInternal Medicine Physician
632SCMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Three Rivers Medical Associates, PA Internal Medicine CurrentSince Dec 6, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 8, 2019 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 8, 2019 Accepting new patients
South Carolina Oncology Assoc PA CurrentSince May 29, 2019 Accepting new patients
Apogee Medical Group South Carolina Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Three Rivers Medical Associates, PA Internal Medicine CurrentSince Dec 6, 2021 Accepting new patients
Palmetto Health Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

114 Gateway Corporate Blvd
Ste 300
Columbia, SC 29203
Phone (803) 254-3278

115 Atrium Way
Ste 120
Columbia, SC 29223
Phone (803) 445-2941

1301 Taylor St
Ste 2H
Columbia, SC 29201
Phone (803) 296-3500

1301 Taylor St
Ste 5K
Columbia, SC 29201
Phone (803) 765-2090

1301 Taylor St
Ste 8A
Columbia, SC 29201
Phone (803) 299-1922

166 Stoneridge Dr
Columbia, SC 29210
Phone (803) 296-5954

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

7430 College St
Irmo, SC 29063
Phone (803) 732-4001

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25140/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jgould380662@direct.musc.edu
  • Direct secure messaging: jgould412848@direct.ghs.myhfn.org
  • Direct secure messaging: john.gould.1@25140.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lutheran HospiceChapin, SC, CCN 421529 Hospice Contracted Managing Employee Oct 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1215922091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 COLLEGE ST",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632903",
            "telephone_number": "839-200-7810",
            "fax_number": "803-891-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 COLLEGE ST",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632903",
            "telephone_number": "839-200-7810",
            "fax_number": "803-891-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "00632",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "SC",
            "license": "632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006326",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

Verify at the official NPI Registry.