NPIMap

Individual provider Active NPI

Michael Anthony Jones, FNP-C

  • Family Nurse Practitioner
  • Easley, SC
National Provider Identifier
1568950426
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21855 Issued in SC
Practice address
123 Couch LN
Easley, SC 29642-1916
Phone
(910) 742-9243
Fax
(888) 746-1787
NPI assigned
Apr 26, 2018
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21855 SC Primary

Addresses

Primary practice location

123 Couch LN
Easley, SC 29642-1916

Mailing address

101 Brookside LN
Piedmont, SC 29673-9478
Phone (864) 908-6442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180612001071 SC Practitioner - Nurse Practitioner 3577818780 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifesource of North CarolinaGroup PAC ID 7416132428, 172 clinicians
Lifesource Prime IncGroup PAC ID 7810336385, 52 clinicians

Practice addresses (Care Compare)

939 Springdale Dr
Clinton, SC 29325-7266
Phone (910) 742-9243

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Biologics LLC CurrentSince Nov 1, 2023 Accepting new patients
Rebirth Advanced Healing LLC CurrentSince Dec 1, 2023 Accepting new patients
Lifesource Prime Inc CurrentSince Apr 4, 2024 Accepting new patients
Lifesource of North Carolina CurrentSince May 1, 2018 Accepting new patients
Lifesource Prime Inc Family CurrentSince Apr 4, 2024 Accepting new patients
Lifesource of North Carolina CurrentSince May 1, 2018 Accepting new patients
Lifesource Prime Inc Past Accepting new patients
Lifesource of North Carolina Past Accepting new patients

Locations

1915 Ebenezer Rd
Rock Hill, SC 29732
Phone (305) 866-9951

207 E Main St
Ste 3A2
Johnson City, TN 37604
Phone (833) 870-0904

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 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1568950426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROOKSIDE LN",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739478",
            "telephone_number": "864-908-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 COUCH LN",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421916",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.