NPIMap

Individual provider Active NPI

Solomon Jan, MD

  • Hospitalist Physician
  • Mullins, SC
National Provider Identifier
1457538316
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
36530 Issued in SC
Practice address
2829 E Highway 76
Mullins, SC 29574-6035
Phone
(843) 431-2000
NPI assigned
Jan 23, 2008
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-90090 OH
Hospitalist Physician 208M00000X 36530 SC Primary
Legal Medicine (M.D./D.O.) Physician 209800000X 36530 SC

Addresses

Primary practice location

2829 E Highway 76
Mullins, SC 29574-6035

Mailing address

PO Box 603898
Charlotte, NC 28260-3898
Phone (843) 792-6200

Other identifiers 1

IdentifierTypeStateIssuer
2805745MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080222000314 OH Practitioner - Family PracticePractitioner - Geriatric Medicine 0547344087 Reassigns benefits to 1 organization
I20150428001984 SC Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Hospitalist 0547344087 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physician Group South Carolina LLCGroup PAC ID 9638579352, 7 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

3085 Taylor Rd
Cayce, SC 29033-2745
Phone (803) 258-8240

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-90090OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
SC House Calls Inc CurrentSince Jun 26, 2017 Accepting new patients
Carolina Family Care, Inc Internal Medicine CurrentSince Oct 15, 2020 Accepting new patients
Carolina Family Care, Inc CurrentSince Oct 15, 2020 Accepting new patients
Impact Physician Group, South Carolina LLC Internal Medicine CurrentSince Oct 16, 2025 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Adena Medical Group LLC Internal Medicine CurrentSince Jan 28, 2015 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Nov 12, 2016 Accepting new patients
SC House Calls Inc CurrentSince Jun 26, 2017 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Nov 12, 2016 Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince Jan 30, 2022 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jun 19, 2017 Accepting new patients
Waccamaw Community Hospital CurrentSince Apr 22, 2017 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jun 19, 2017 Accepting new patients
Clinton Memorial Hospital of Wilmington Clinton County Ohio Past Accepting new patients
Medical University Hospital Authority Past Accepting new patients
Medicos, P.a. Internal Medicine PastSince Feb 11, 2024 Accepting new patients
Medical University Hospital Authority Past Accepting new patients

Locations

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

3085 Taylor Rd
Cayce, SC 29033
Phone (803) 258-8240

20 Pinnacle Pkwy
Elgin, SC 29045
Phone (260) 407-8007

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: sjan275393@direct.musc.edu
  • Direct secure messaging: sjan32274@directmcleodehealth.org
  • Direct secure messaging: solomon.jan.1@7602.direct.athenahealth.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1457538316",
    "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": "2829 E HIGHWAY 76",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746035",
            "telephone_number": "843-431-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAN",
        "first_name": "SOLOMON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-90090",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "36530",
            "primary": true
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "SC",
            "license": "36530",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2805745",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

Verify at the official NPI Registry.