Active NPI
Jonessa Ann Villanueva, M.D.
- Internal Medicine Physician
- North Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36508
- Practice address
- 2021 N Myrtle Point Blvd Ste 101
North Myrtle Beach, SC 29582-2224 - Phone
- (843) 366-2900
- NPI assigned
- Aug 5, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36508 | SC | Primary |
| Internal Medicine Physician | 207R00000X | 2020-03573 | NC |
Addresses
Primary practice location
2021 N Myrtle Point Blvd Ste 101
North Myrtle Beach, SC 29582-2224
Mailing address
2021 N Myrtle Point Blvd Ste 101
North Myrtle Beach, SC 29582-2224
Phone (843) 366-2900
Other practice location 1
3350 SW 148th Ave Ste 300
Miramar, FL 33027-3259
Phone (800) 400-6354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 365081 | Medicaid | SC |
Other names 1
- Jonessa Ann Atienza
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2021 N Myrtle Point Blvd
Suite 104
North Myrtle Beach, SC 29582-2224
Phone (843) 366-2900
Hospital & facility affiliations
- McLeod Loris Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36508 | SC | MD | Internal Medicine Physician |
Interoperability endpoints
- jvillanueva92957@directmcleodehealth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1619256849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 N MYRTLE POINT BLVD STE 101",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295822224",
"telephone_number": "843-366-2900",
"fax_number": "843-366-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 N MYRTLE POINT BLVD STE 101",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295822224",
"telephone_number": "843-366-2900"
}
],
"practiceLocations": [
{
"address_1": "3350 SW 148th Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330273259",
"country_code": "US",
"telephone_number": "800-400-6354",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "JONESSA ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "36508",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2020-03573",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "365081",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JONESSA ANN",
"last_name": "ATIENZA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.