Jeremy Thomas Ponds

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L006090 Issued in NC

Practice address

147 Vera Rd Ste a
Lexington, SC 29072-3756

Phone

(803) 575-0468

Fax

(803) 728-3224

NPI assigned

Mar 3, 2011

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Path of Life NutritionGroup PAC ID 4082960703, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Path of Life Nutrition

  • Registered Dietitian
  • Lexington, SC
  • NPI 1245610534

  Nutritionist

  Medicare reassignment Care Compare group NPD Authorized official
• Path of Life Nutrition

  • Registered Dietitian
  • Boone, NC
  • NPI 1972375673

  Nutritionist

  NPD Authorized official

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1558669358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 SHADOWBROOK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103751",
            "telephone_number": "803-575-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 VERA RD STE A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723756",
            "telephone_number": "803-575-0468",
            "fax_number": "803-728-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Pope St",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "SC",
            "postal_code": "291081928",
            "country_code": "US",
            "telephone_number": "803-768-7179",
            "fax_number": "803-597-5028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 Oak Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286077618",
            "country_code": "US",
            "telephone_number": "803-575-0468",
            "fax_number": "803-728-3224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONDS",
        "first_name": "JEREMY",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-03",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "SC",
            "license": "638",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006090",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "SC",
            "license": "638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DT1055",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "20B5K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mickey F Plymale, MD
• Amanda Polanco
• Jill Rowe Polhemus, PT
• Heather Leigh Pollnow, COTA/L
• Erin Polston, LPC, ADC
• James Odes Poole, LISW
• Cheryl Ann Pooler, MSSW, LISW-CP
• Jennifer Lovett Porter, D.C.
• Carol Portera
• Amy G Poteat, MSP CCC-SLP

• Registered Dietitian in Lexington, SC
• Providers in Lexington, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.