Active NPI
Jonathan Eichorn
- Family Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2017-01772
- Practice address
- 10628 Park Rd
Charlotte, NC 28210-8407 - Phone
- (704) 667-7070
- NPI assigned
- Feb 25, 2014
- Last updated
- Feb 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spartanburg Medical Center
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
- Spartanburg Regional Home Health
- Agape Care South Carolina II
- Hospice of the Carolina Foothills
- Spartanburg Medical Center
- Pelham Medical Center
- Union Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36687 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| Charleston Carenow Urgent Care, LLC | Current | Accepting new patients | |
| Agape Care North Carolina, LLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| 24 On Physicians, PC | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Family Medicine | Current | Accepting new patients |
| Pelham Medical Center | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current | Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Current | Accepting new patients | |
| Spartanburg Medical Center | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Pelham Medical Center | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Family Medicine | Current | Accepting new patients |
| Spartanburg Medical Center | Past | Accepting new patients | |
| Agape Care North Carolina, LLC | Family Medicine | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Agape Care South Carolina II | 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.
-
dba Agape Care South Carolina
- Community Based Hospice Care Agency
- Spartanburg, SC
- NPI 1558457804
Contracted Managing Employee
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.
-
dba Medical Group of the Carolinas - Emergency Medicine - Pelham
- Emergency Medicine Physician
- Greer, SC
- NPI 1619133568
-
dba Palliative Care of North Carolina
- Hospice and Palliative Medicine (Family Medicine) Physician
- Forest City, NC
- NPI 1356150916
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Hospitalist Physician
- Anderson, SC
- NPI 1588613343
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
Family Medicine, SC
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Family Medicine
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Family Medicine
-
dba Medical Group of the Carolinas - Spineand Pain Management - NorthGrove
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
-
dba Medical Group of the Carolinas - Emergency Medicine
- Emergency Medicine Physician
- Spartanburg, SC
- NPI 1699729939
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Carolinas Palliative Care and Hospice Group
- Hospice and Palliative Medicine (Family Medicine) Physician
- Concord, NC
- NPI 1891058699
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hospice of the Carolina Foothills
- Community Based Hospice Care Agency
- Forest City, NC
- NPI 1841904620
-
dba Agape Care South Carolina
- Community Based Hospice Care Agency
- Spartanburg, SC
- NPI 1558457804
-
dba PMC Center for Urology Pelham
- Pain Medicine Physician
- Greer, SC
- NPI 1942960844
Hospital
-
- General Acute Care Hospital
- Greer, SC
- NPI 1982800397
-
dba Spartanburg Medical Center- Psychiatric Unit
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
dba Spartanburg Regional Home Health
- Home Health Agency
- Spartanburg, SC
- NPI 1558381541
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
dba Spartanburg Medical Center-Center for Rehabilitative Medicine
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
-
- General Acute Care Hospital
- Union, SC
- NPI 1396129201
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.