Individual provider Active NPI

John Vaughn Ferguson, MD

  • Obstetrics & Gynecology Physician
  • Columbia, SC
National Provider Identifier
1528157930
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10102 Issued in SC
Practice address
2117 Gervais St
Columbia, SC 29204-1805
Phone
(803) 744-0540
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10102 SC Primary
Obstetrics & Gynecology Physician 207V00000X 24590 NC

Addresses

Primary practice location

2117 Gervais St
Columbia, SC 29204-1805

Mailing address

169 Laurelhurst Ave
Columbia, SC 29210-3825
Phone (803) 733-5969

Other practice location 1

1301 Taylor St Ste 6J
Columbia, SC 29201-2930
Phone (803) 296-2942

Other practice location 2

520 Maple Ave
Suite C
Reidsville, NC 27320-4652
Phone (336) 342-6063

Other practice location 3

522 S Van Buren Rd
Eden, NC 27288-5019
Phone (336) 627-1117

Other identifiers 4

IdentifierTypeStateIssuer
31627OtherNCBLUE CROSS BLUE SHIELD
1528157930MedicaidNC
101026MedicaidSC
206248DOtherMEDICARE INDIVIDUAL PTAN LINKED TO FACULTY PRACTICE GROUP

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jferguson18734@direct.conehealth.com Direct
Direct Messaging Address jferguson228983@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20080318000605 NC Practitioner - Obstetrics/Gynecology 5991730749 Reassigns benefits to 3 organizations
I20220208001839 SC Practitioner - Obstetrics/Gynecology 5991730749 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Rural Health Services, Inc.Group PAC ID 8527046010, shared by 4 NPIs, 12 clinicians

Practice addresses (Care Compare)

1000 Clyburn PL
Aiken, SC 29801-4193
Phone (803) 380-7000

120 Darlington Dr
Aiken, SC 29803-8542
Phone (803) 380-7000

4645 Augusta Rd
Beech Island, SC 29842-7265
Phone (803) 380-7000

995 Clyburn PL
Aiken, SC 29801-4639
Phone (803) 380-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24590NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Cooperative Health Center, Inc. Obstetrics & Gynecology Current Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Aug 7, 2023 Accepting new patients
Unc Physicians Network LLC Obstetrics & Gynecology CurrentSince Jul 8, 2021 Accepting new patients
Eau Claire Cooperative Health Center, Inc CurrentSince Aug 7, 2023 Accepting new patients
Rural Health Services, Inc. CurrentSince Sep 1, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Obstetrics & Gynecology CurrentSince Feb 1, 2008 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Oct 1, 2018 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Oct 1, 2018 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Rural Health Services, Inc CurrentSince Sep 1, 2024 Accepting new patients
Moses Cone Physician Services, Inc. Obstetrics & Gynecology Current Accepting new patients
Family Tree OB GYN, PA Obstetrics & Gynecology PastSince Jan 1, 2001 Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

522 S Van Buren Rd
Eden, NC 27288
Phone (336) 627-1117

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

3711 Elmsley St
Ste 101
Greensboro, NC 27406
Phone (336) 890-2165

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

520 Maple Ave
Ste C
Reidsville, NC 27320
Phone (336) 342-6063

995 Clyburn Pl
Aiken, SC 29801
Phone (803) 380-7000

1021 York St NE
Aiken, SC 29801
Phone (803) 360-7000

120 Darlington Dr
Aiken, SC 29803
Phone (803) 380-7000

1000 Clyburn Pl
Aiken, SC 29801
Phone (803) 380-7000

4645 Augusta Rd
Clearwater, SC 29842
Phone (803) 380-7000

2117 Gervais St
Columbia, SC 29204
Phone (803) 744-0540

169 Laurelhurst Ave
Columbia, SC 29210
Phone (803) 730-0742

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10781/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jferguson228983@direct.unc.nchie.net
  • Direct secure messaging: john.ferguson.1@13265.direct.athenahealth.com
  • Direct secure messaging: jferguson18734@direct.conehealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1528157930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 LAURELHURST AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103825",
            "telephone_number": "803-733-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 GERVAIS ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041805",
            "telephone_number": "803-744-0540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Taylor St Ste 6J",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012930",
            "country_code": "US",
            "telephone_number": "803-296-2942",
            "fax_number": "803-779-9581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Maple Ave",
            "address_2": "SUITE C",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273204652",
            "country_code": "US",
            "telephone_number": "336-342-6063",
            "fax_number": "336-342-6066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "522 S Van Buren Rd",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "NC",
            "postal_code": "272885019",
            "country_code": "US",
            "telephone_number": "336-627-1117",
            "fax_number": "336-627-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JOHN",
        "middle_name": "VAUGHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "10102",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "24590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31627",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528157930",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101026",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN LINKED TO FACULTY PRACTICE GROUP",
            "identifier": "206248D",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jferguson18734@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 Maple Ave",
            "address_2": "SUITE C",
            "city": "Reidsville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273204652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jferguson228983@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "522 S Van Buren Rd",
            "city": "Eden",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272885019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.