Individual provider Active NPI

Matthew P Jones, FNP

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1376219659
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.23508 Issued in SC
Practice address
525 Verdae Blvd # 200
Greenville, SC 29607-4021
Phone
(864) 272-0388
NPI assigned
Aug 18, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.23508 SC Primary

Addresses

Primary practice location

525 Verdae Blvd # 200
Greenville, SC 29607-4021

Mailing address

140 Circle Slope Dr
Simpsonville, SC 29681-5852
Phone (864) 907-4993

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110001004 SC Practitioner - Nurse Practitioner 9739571472 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.23508SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Dec 9, 2021 Accepting new patients
Musc Affiliate Physicians CurrentSince Dec 9, 2021 Accepting new patients
University Medical Associates Past Accepting new patients

Locations

525 Verdae Blvd
#100
Greenville, SC 29607
Phone (864) 516-2800

9 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 286-1040

525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

1220 Parkside Acorn Dr
Inman, SC 29349
Phone (864) 516-1783

30 Halter Dr
Powdersville, SC 29673

559 Harrison Bridge Rd
Simpsonville, SC 29680

211 Batesville Rd
Simpsonville, SC 29681

2 Hatcher Creek St
Simpsonville, SC 29680

2430 Reidville Rd
Ste 102
Spartanburg, SC 29301

2430 Reidville Rd
Spartanburg, SC 29301
Phone (864) 516-1783

Interoperability endpoints

  • Direct secure messaging: matthew.jones@tribe513.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1376219659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CIRCLE SLOPE DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296815852",
            "telephone_number": "864-907-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD # 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-272-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.23508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.