Active NPI
John Taylor Autry
- Emergency Medicine Physician
- Chester, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 83236
- Practice address
- 1 Medical Park Dr
Chester, SC 29706-9769 - Phone
- (803) 581-3151
- NPI assigned
- Apr 9, 2014
- 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 | 036142175 | IL | |
| Emergency Medicine Physician | 207P00000X | 34.013414 | OH | |
| Emergency Medicine Physician | 207P00000X | 83236 | SC | Primary |
Addresses
Primary practice location
1 Medical Park Dr
Chester, SC 29706-9769
Mailing address
PO Box 603898
Charlotte, NC 28260-3898
Phone (843) 792-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.013414 | OH | MD | Emergency Medicine Physician |
| TP876 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Valley Emergency Care Management, Inc. | Emergency Medicine | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Emergency Medicine Physicians of Cook County LLC | Emergency Medicine | Current | Accepting new patients |
| Carolina Family Care, Inc | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
Organizations & group practices 6
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.
-
dba MUSC Physicians PCP
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
- Emergency Medicine Physician
- Olympia Fields, IL
- NPI 1114168929
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Emergency Medicine Physician
- Geneva, IL
- NPI 1841395092
-
dba MUSC Physicians PC
- Family Medicine Physician
- Florence, SC
- NPI 1093076457
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1447679170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603898",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603898",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK DR",
"city": "CHESTER",
"state": "SC",
"postal_code": "297069769",
"telephone_number": "803-581-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUTRY",
"first_name": "JOHN",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-09",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036142175",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.013414",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "83236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, SC
- Taylor Sutton Adkins, APRN
- Laudan A. Adkinson, D.M.D.
- Aftercare Home Medical Equipment Inc (Aftercare Medical Equipment and Supplies)
- Amedisys SC, L.L.C. (Neighbors Care Home health Agency, an Amedisys Co.)
- Malik E Ashe Sr., MD
- Kelly Mincey Bagley, RPH
- Reginald Bailey
- Baileys Barbering Company
- Jason Vance Baker
- Maria Teresa Bates, CACII, NCACII
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.