Individual provider Active NPI

Jonathan Scott Williams, MD

  • Diagnostic Radiology Physician
  • Florence, SC
National Provider Identifier
1477540961
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20176 Issued in SC
Practice address
1329 Lazar PL
Florence, SC 29501-5664
Phone
(843) 629-9516
NPI assigned
Sep 30, 2005
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20176 SC Primary
Vascular & Interventional Radiology Physician 2085R0204X 20176 SC

Addresses

Primary practice location

1329 Lazar PL
Florence, SC 29501-5664

Mailing address

PO Box 23321
New York, NY 10087-3321

Other identifiers 8

IdentifierTypeStateIssuer
300090699OtherSCRAILROAD MEDICARE
81364OtherSCMEDCOST
0530QOtherSCBCBS OF NC
154758900OtherSCUS DEPT OF LABOR
154758900OtherSCFEDERAL BLACK LUNG
790530QOtherNCNC MEDICAID
201766MedicaidSC
570525838OtherSCSTANDARD TAX ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120112000137 SC Practitioner - Diagnostic Radiology 2567639743 Reassigns benefits to 3 organizations
I20200918001278 GA Practitioner - Diagnostic Radiology 2567639743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Radiology Associates LLCGroup PAC ID 0042389231, 32 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1329 Lazar PL
Florence, SC 29501-5664
Phone (912) 225-0938

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

302 S Wayne St
Alma, GA 31510-2922
Phone (912) 632-8961

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20176SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidelands and Medquest Joint Venture, LLC CurrentSince Jan 1, 2026 Accepting new patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Mar 1, 2016 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2025 Accepting new patients
Tidelands Health Market Common LLC CurrentSince Jan 1, 2026 Accepting new patients
Bca Georgia, LLC CurrentSince Dec 1, 2022 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Musc Community Physicians Diagnostic Radiology Current Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2025 Accepting new patients

Locations (25 of 68)

172 Mj Taylor Rd
Adel, GA 31620
Phone (229) 896-3424

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

2822 Nottingham Way
Ste 3
Albany, GA 31707
Phone (229) 304-5261

302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961

611 E Washington Ave
Ashburn, GA 31714
Phone (229) 353-2500

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

100 Highway 18 W
Barnesville, GA 30204
Phone (770) 358-0674

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

277 Lackawanna St
Baxley, GA 31513
Phone (912) 366-1362

950 S Main St
Ste 2
Baxley, GA 31513
Phone (912) 367-2596

19 Doctors Way
Ste A
Blairsville, GA 30512

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

630 Columbia St
Blakely, GA 39823
Phone (229) 723-4241

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

200 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-6150

1120 Indian Dr
Eastman, GA 31023
Phone (478) 354-4220

820 2nd Ave
Eastman, GA 31023
Phone (478) 374-5511

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

88 Martin Luther King Jr Dr
Forsyth, GA 31029
Phone (419) 994-2521

101 Hartford Rd W
Ste 1
Fort Gaines, GA 39851
Phone (229) 210-2100

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1477540961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LAZAR PL",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015664",
            "telephone_number": "843-629-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JONATHAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "20176",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "20176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300090699",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "81364",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0530Q",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "154758900",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "154758900",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID",
            "identifier": "790530Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201766",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STANDARD TAX ID",
            "identifier": "570525838",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1329 Lazar Pl",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295015664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.