Mary Susan Jones, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11447 Issued in SC

Practice address

897 Von Kolnitz Rd
Suite 101
Mt Pleasant, SC 29464-3238

Phone

(843) 881-1671

Fax

(843) 881-1433

NPI assigned

Mar 2, 2006

Last updated

Jun 8, 2010By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19636/brand/1/csg/1/fhir/r4

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.

• Legacy Internal Medicine LLC

  • Internal Medicine Physician
  • Mount Pleasant, SC
  • NPI 1528345162
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1316914088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 VON KOLNITZ RD",
            "address_2": "SUITE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643238",
            "telephone_number": "843-881-1671",
            "fax_number": "843-881-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 VON KOLNITZ RD",
            "address_2": "SUITE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643238",
            "telephone_number": "843-881-1671",
            "fax_number": "843-881-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "11447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "110236859",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114478",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Bealer Jones, M.D.
• Elyse Lanier Jones, MA, LPC
• Gina H Jones, LPC
• Jason Derrick Jones, PHARMD
• Jessica Leigh Jones, PHARMD
• Nathan Alexander Jones, PT, DPT, CSCS
• Sara Ethridge Jones, FNP-C
• Mary Theresa Joseph, MD
• Jeffrey R Joyner, M.D.
• Ashley Renee Kaczmarek, RN

• Internal Medicine Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.