Individual provider Active NPI

John P Short, DO

  • Emergency Medicine Physician
  • Greenwood, SC
National Provider Identifier
1235176520
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1651 Issued in SC
Practice address
1325 Spring St
Greenwood, SC 29646-3860
Phone
(864) 725-4780
Fax
(864) 725-4778
NPI assigned
Jun 2, 2006
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1651 SC Primary
Emergency Medicine Physician 207P00000X 1982 WV
Family Medicine Physician 207Q00000X 2001 SC

Addresses

Primary practice location

1325 Spring St
Greenwood, SC 29646-3860

Mailing address

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4780

Other practice location 1

811 W Main St
Lexington, SC 29072-2507
Phone (803) 358-6100

Other identifiers 3

IdentifierTypeStateIssuer
016510MedicaidSC
1811051000MedicaidWV
2774136MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jshort55463@direct.lexmed.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131112001462 SC Practitioner - General PracticePractitioner - Emergency Medicine 6002891124 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
West Virginia School of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gateway Medical LLCGroup PAC ID 5496056814, 5 clinicians
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

Lexington, SC 29072
Phone (803) 358-8496

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

1400 Main St
Conway, SC 29526-3567
Phone (843) 488-0101

1624 Main St
Columbia, SC 29201-2818
Phone (803) 454-0365

171 Monroe LN
Lexington, SC 29072-3904

3600 Sea Mountain Hwy
Suite C
Little River, SC 29566-8161
Phone (843) 357-3100

431 E Boundary St
Chapin, SC 29036-8388
Phone (803) 345-1911

487 Hwy 378
Lexington, SC 29072-9177
Phone (803) 520-0985

811 W Main St
Lexington, SC 29072-2507
Phone (803) 936-7549

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Jan 5, 2024 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington County Health Services District, Inc. Multi-Specialty CurrentSince Jan 1, 2020 Accepting new patients
Prisma Health-Midlands Multi-Specialty Current Accepting new patients
Prisma Health-Midlands Multi-Specialty CurrentSince Mar 19, 2014 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
SC House Calls Inc Multi-Specialty CurrentSince Jan 5, 2024 Accepting new patients
Prisma Health-Midlands Emergency Medicine CurrentSince Mar 19, 2014 Accepting new patients
Gateway Medical LLC Multi-Specialty CurrentSince Nov 9, 2020 Accepting new patients
Lexington Health Inc Multi-Specialty Current Accepting new patients
Your Health Primary Care of SC, LLC Multi-Specialty CurrentSince Dec 30, 2025 Accepting new patients
Barboursville Urgent Care Inc. Multi-Specialty CurrentSince Aug 1, 2011 Accepting new patients
Lexington Health Inc Multi-Specialty CurrentSince Feb 1, 2021 Accepting new patients
Self Regional Healthcare Multi-Specialty Past Accepting new patients
River Valley Emergency Physicians, Inc Multi-Specialty Past Accepting new patients
Lexington Health Inc Multi-Specialty Past Accepting new patients
Self Medical Group Multi-Specialty PastSince May 7, 2024 Accepting new patients

Locations

1111 Knox Abbott Dr
Cayce, SC 29033
Phone (803) 314-0660

557 Columbia Ave
Chapin, SC 29036
Phone (803) 932-0655

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

7035 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0924

4080 Augusta Hwy
Gilbert, SC 29054
Phone (803) 892-1800

338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300

154 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 785-3580

171 Monroe Ln
#B
Lexington, SC 29072
Phone (803) 358-8496

811 W Main St
Lexington, SC 29072

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

811 W Main St
Ste 212
Lexington, SC 29072
Phone (803) 358-6180

935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

2 Chateau Ln
Barboursville, WV 25504
Phone (304) 736-9459

3550 US Route 60 E
Barboursville, WV 25504
Phone (304) 736-9090

Interoperability endpoints

  • Direct secure messaging: john.paul.short.1@31203.direct.athenahealth.com
  • Direct secure messaging: john.short.1@7602.direct.athenahealth.com
  • Direct secure messaging: jshort55463@direct.lexmed.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1235176520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-4780",
            "fax_number": "864-725-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-4780",
            "fax_number": "864-725-4778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290722507",
            "country_code": "US",
            "telephone_number": "803-358-6100",
            "fax_number": "803-358-6105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "1651",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "1982",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "2001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016510",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811051000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2774136",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshort55463@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "811 W Main St",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290722507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.