Active NPI
John N Jewell, MD
- Emergency Medicine Physician
- Spartanburg, SC
National Provider Identifier
1417958265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.082052
- Practice address
- 101 E Wood St
Spartanburg, SC 29303-3040 - Phone
- (864) 560-7025
- Fax
- (864) 560-7388
- NPI assigned
- Aug 2, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2006-01133 | NC | |
| Emergency Medicine Physician | 207P00000X | 31469 | SC | |
| Emergency Medicine Physician | 207P00000X | 35.082052 | OH | Primary |
Addresses
Primary practice location
101 E Wood St
Spartanburg, SC 29303-3040
Mailing address
PO Box 277700
Atlanta, GA 30384-7700
Phone (440) 717-6600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64064165 | Medicaid | KY | |
| 000000353335 | Other | OH | ANTHEM |
| 143KC | Other | NC | BCBS OF NC PROVIDER NUMBE |
| 314699 | Medicaid | SC | |
| 4685180 | Medicaid | MI | |
| 5905296 | Medicaid | NC | |
| 2378663 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-01133 | NC | MD | Emergency Medicine Physician |
| 35.082052 | OH | MD | Emergency Medicine Physician |
| 31469 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Carolina Coast Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Epmg of Ohio Inc P a | Emergency Medicine | Past | Accepting new patients |
Locations
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991
1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1972610988
-
- Emergency Medicine Physician
- Portsmouth, OH
- NPI 1841232196
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1417958265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 277700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303847700",
"telephone_number": "440-717-6600",
"fax_number": "440-546-8381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WOOD ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033040",
"telephone_number": "864-560-7025",
"fax_number": "864-560-7388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL",
"first_name": "JOHN",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2006-01133",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "31469",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.082052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64064165",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000353335",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC PROVIDER NUMBE",
"identifier": "143KC",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314699",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4685180",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905296",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2378663",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.