Active NPI
Jonah Eugene Woo
- Physician Assistant
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5650
- Practice address
- 1325 Spring St
Greenwood, SC 29646-3875 - Phone
- (864) 725-4111
- NPI assigned
- Nov 7, 2024
- Last updated
- Feb 7, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | 5650 | SC | Primary |
Addresses
Primary practice location
1325 Spring St
Greenwood, SC 29646-3875
Mailing address
50 Delaughter Dr
North Augusta, SC 29860-8537
Other practice location 1
102 Gregor Mendel Cir
Greenwood, SC 29646-2315
Phone (864) 229-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SCW064 | 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111
160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
102 Gregor Mendel Cir
Greenwood, SC 29646
Phone (864) 229-2663
104 Wells Ave
Greenwood, SC 29646
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Interoperability endpoints
- jwoo543339@selfregional.direct-ci.net
Organizations & group practices 3
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.
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
- Family Medicine Physician
- Saluda, SC
- NPI 1659815652
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Pain Management Greenwood
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Hospital
-
dba SRH - Inpatient Services
- General Acute Care Hospital
- Greenwood, SC
- NPI 1023046612
-
dba SRH - Outpatient Services
- General Acute Care Hospital
- Greenwood, SC
- NPI 1407887003
-
dba Pain Management Laurens
- Pain Medicine (Anesthesiology) Physician
- Clinton, SC
- NPI 1720938103
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1285457218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 DELAUGHTER DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298608537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SPRING ST",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463875",
"telephone_number": "864-725-4111"
}
],
"practiceLocations": [
{
"address_1": "102 Gregor Mendel Cir",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296462315",
"country_code": "US",
"telephone_number": "864-229-2663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOO",
"first_name": "JONAH",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-07",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SCW064",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.