Jonathan Hal Anderson, M.D., F.A.C.S.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

19933 Issued in SC

Practice address

770 Medical Park Dr
Aiken, SC 29801-6307

Phone

(803) 649-3903

Fax

(803) 642-6161

NPI assigned

Dec 16, 2005

Last updated

Mar 7, 2019By the provider in NPPES

Sex

Male

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 1

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

Specialty

Urology

Education

Medical University of South Carolina College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aiken Professional Association LLCGroup PAC ID 0446430805, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082
• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
• Allendale County Hospital Hospital, Fairfax, SC, CCN 421300

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Aiken Professional Association, LLC

  • Internal Medicine Physician
  • Aiken, SC
  • NPI 1639479801

  Urology

  Medicare reassignment Care Compare group NPD
• Aiken Center for Urology PA

  • Urology Physician
  • Aiken, SC
  • NPI 1508943051
  Authorized official Same address or phone
• Aiken Professional Association LLC

  dba Aiken Urgent Care

  • Urgent Care Clinic/Center
  • Graniteville, SC
  • NPI 1457825846
  NPD

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

• Aiken Regional Medical Centers LLC

  dba Wound Care Center

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1447437157
  Care Compare affiliation
• Aiken Regional Medical Centers LLC

  dba Aiken Regional Medical Center

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1467448498
  Care Compare affiliation
• Aiken Regional Medical Centers, LLC.

  dba Aiken Regional Medical Centers Neuro Physician Services

  • Neurological Surgery Physician
  • Aiken, SC
  • NPI 1942610928

  Hospital

  Care Compare affiliation
• Allendale County Hospital Board

  dba Allendale County Hospital

  • General Acute Care Hospital
  • Fairfax, SC
  • NPI 1609866912
  Care Compare affiliation
• University Health Services,Inc

  dba Piedmont Augusta Hospital

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1346226958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATTN: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "803-716-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MEDICAL PARK DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016307",
            "telephone_number": "803-649-3903",
            "fax_number": "803-642-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JONATHAN",
        "middle_name": "HAL",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "19933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199332",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Anesthesia, LLC
• Tejasri Reddy Ananthula, MD
• Anchor Rehabilitation and Healthcare Center of Aiken, LLC
• Audrey Anderson
• Gary Wayne Anderson
• Vianca Anderson, LPC
• Angel's Play LLC
• Angela Fallaw Zaremba DPM PA (Aiken Podiatry Center)
• Andreina Dodson Angle, RNC WHNP
• Stephanie Ansley

• Urology Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.

Verify at the official NPI Registry.