Individual provider Active NPI

Jonathan Eichorn

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1588089783
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-01772 Issued in NC
Practice address
10628 Park Rd
Charlotte, NC 28210-8407
Phone
(704) 667-7070
NPI assigned
Feb 25, 2014
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36687 SC
Family Medicine Physician 207Q00000X 2017-01772 NC Primary

Addresses

Primary practice location

10628 Park Rd
Charlotte, NC 28210-8407

Mailing address

10628 Park Rd
Charlotte, NC 28210-8407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161010001393 SC Practitioner - Family PracticePractitioner - Hospitalist 3971723917 Reassigns benefits to 6 organizations
I20171219000202 NC Practitioner - Family Practice 3971723917 Reassigns benefits to 2 organizations
I20180827001569 TX Practitioner - Family Practice 3971723917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Pelham Medical CenterGroup PAC ID 2365519097, 132 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6000

250 Westmoreland Rd
Greer, SC 29651-9013
Phone (864) 530-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36687SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Charleston Carenow Urgent Care, LLC CurrentSince Sep 15, 2018 Accepting new patients
Agape Care North Carolina, LLC CurrentSince Aug 28, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 17, 2018 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Spartanburg Medical Center CurrentSince Jul 2, 2016 Accepting new patients
24 On Physicians, PC CurrentSince Jan 17, 2019 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Jun 15, 2017 Accepting new patients
Pelham Medical Center CurrentSince May 13, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jun 1, 2018 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
24 On Physicians, P.C. CurrentSince Jan 17, 2019 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Jul 2, 2016 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 17, 2018 Accepting new patients
Spartanburg Medical Center CurrentSince Jul 2, 2016 Accepting new patients
Pelham Medical Center CurrentSince May 13, 2019 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Agape Care North Carolina, LLC Family Medicine PastSince Aug 28, 2023 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

10648 Park Rd
Charlotte, NC 28210
Phone (704) 355-9330

374 Hudlow Rd
Ste B
Forest City, NC 28043
Phone (828) 245-0095

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

515 Saint James Ave
Goose Creek, SC 29445
Phone (843) 507-8925

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

8445 Dorchester Rd
North Charleston, SC 29420
Phone (843) 640-5008

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (800) 932-2378

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: jeichorn34500@direct.anmedhealth.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Agape Care South Carolina IISpartanburg, SC, CCN 421536 Hospice Contracted Managing Employee Jul 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

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 19

Hospital & facility affiliations 10

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": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1588089783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10628 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10628 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108407",
            "telephone_number": "704-667-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHORN",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-25",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "36687",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-01772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.