Individual provider Active NPI

Jonathan Christian Picard, M.D.

  • Urology Physician
  • Mount Pleasant, SC
National Provider Identifier
1619142841
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
30650 Issued in SC
Practice address
1122 Chuck Dawley Blvd Ste 200
Mount Pleasant, SC 29464-4183
Phone
(843) 884-8045
Fax
(843) 881-5081
NPI assigned
Apr 29, 2008
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 30650 SC Primary

Addresses

Primary practice location

1122 Chuck Dawley Blvd Ste 200
Mount Pleasant, SC 29464-4183

Mailing address

PO Box 7927
Mobile, AL 36670-0927
Phone (843) 884-8045

Other identifiers 1

IdentifierTypeStateIssuer
306500MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080729000092 SC Practitioner - Urology 9537233382 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates of Charleston LLCGroup PAC ID 4082079496, 10 clinicians
Anmed HealthGroup PAC ID 1951215243, 348 clinicians
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

1122 Chuck Dawley Blvd
Suite 200
Mt Pleasant, SC 29464-4183
Phone (843) 884-8045

2000 E Greenville St
Suite 5140
Anderson, SC 29621-1580
Phone (864) 716-6100

800 E Cheves St
Suite 350
Florence, SC 29506-2649
Phone (843) 665-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Current Accepting new patients
Anmed Health Urology CurrentSince Nov 15, 2024 Accepting new patients
Anmed Health CurrentSince Nov 15, 2024 Accepting new patients
Roper Saint Francis Physicians Network Urology CurrentSince Aug 18, 2014 Accepting new patients
Anmed Health Current Accepting new patients
Urology Associates of Charleston LLC Urology CurrentSince Jul 1, 2023 Accepting new patients
McLeod Physician Associates II Urology CurrentSince Mar 24, 2023 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 18, 2014 Accepting new patients
McLeod Physician Associates II CurrentSince Mar 24, 2023 Accepting new patients

Locations

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Ste 5140
Anderson, SC 29621
Phone (864) 716-6100

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 350
Florence, SC 29506
Phone (843) 665-2000

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

200 E Hospital St
Manning, SC 29102
Phone (803) 433-0439

1122 Chuck Dawley Blvd
Ste 200
Mt Pleasant, SC 29464

180 Wingo Way
Ste 304
Mt Pleasant, SC 29464
Phone (843) 402-1741

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: jonathanpicard@uacharleston.allscriptsdirect.net
  • Direct secure messaging: jpicard81979@directmcleodehealth.org
  • Direct secure messaging: jpicard82750@direct.anmedhealth.net

Organizations & group practices 9

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 5

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1619142841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7927",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366700927",
            "telephone_number": "843-884-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CHUCK DAWLEY BLVD STE 200",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644183",
            "telephone_number": "843-884-8045",
            "fax_number": "843-881-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARD",
        "first_name": "JONATHAN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "30650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306500",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.