Active NPI
Emerson Juan, DO
- Emergency Medicine Physician
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 103711
- Practice address
- 101 E Wood St
Emergency Center
Spartanburg, SC 29303-3040 - Phone
- (864) 560-7025
- Fax
- (864) 560-7388
- NPI assigned
- Jun 25, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | TL1106 | SC | |
| Emergency Medicine Physician | 207P00000X | 2007-00705 | NC | |
| Emergency Medicine Physician | 207P00000X | 103711 | GA | Primary |
| Emergency Medicine Physician | 207P00000X | 1106 | SC |
Addresses
Primary practice location
101 E Wood St
Emergency Center
Spartanburg, SC 29303-3040
Mailing address
PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304
Other practice location 1
162 Legacy Pt
Clayton, GA 30525-5354
Phone (706) 212-2350
Other practice location 2
420 Thomson Cir
Abbeville, SC 29620-5656
Phone (864) 366-5011
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA21748510 | Other | SC | MEDICARE PIN |
| 5907926 | Medicaid | NC | |
| 20066217 | Other | SC | SELECT HEALTH |
| 201626 | Other | SC | MEDCOST |
| 011061 | Medicaid | SC | |
| AA21749068 | Other | SC | MEDICARE PIN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ejuan52615@direct-srhs.et0939.epichosted.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- 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
- Emergency Medicine
- Education
- Nova Southeastern College of Osteo Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E Wood St
Spartanburg, SC 29303-3040
250 Westmoreland Rd
Greer, SC 29651-9013
Phone (864) 530-6000
Hospital & facility affiliations
- Spartanburg Medical Center
- Mountain Lakes Medical Center
- Cherokee Medical Center
- Union Medical Center
- Pelham 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 |
|---|---|---|---|
| 2007-00705 | NC | MD | Emergency Medicine Physician |
| TL1106 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelham Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Southland Consolidated Emergency Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Professional Resources Management of Rabun, LLC | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Abbeville County Memorial Hospital | Current | Accepting new patients | |
| Ich ER Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Edcare Consulting LLC | Emergency Medicine | Current | Accepting new patients |
| Pelham Medical Center | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Spartanburg Medical Center | Emergency Medicine | Current | Accepting new patients |
| App of South Carolina Ed PLLC | Emergency Medicine | Current | Accepting new patients |
| Pelham Medical Center | Emergency Medicine | Current | Accepting new patients |
| Self Medical Group | Current | Accepting new patients | |
| Pathology Associates of Greenville PA | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Abbeville County Memorial Hospital | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Self Medical Group | Emergency Medicine | Current | Accepting new patients |
Locations
162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408
4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527
75 Remittance Dr
Dept 6764
Chicago, IL 60675
420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200
100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000
250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108
1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
2110 Highway 86
Piedmont, SC 29673
Phone (864) 512-1333
298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100
729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647
101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Interoperability endpoints
- ejuan126461@selfregional.direct-ci.net
Organizations & group practices 20
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.
-
- Emergency Medicine Physician
- Greer, SC
- NPI 1619133568
-
- Emergency Medicine Physician
- Spartanburg, SC
- NPI 1699729939
-
- Critical Access Hospital
- Abbeville, SC
- NPI 1063449361
-
- Emergency Medicine Physician
- Hartsville, SC
- NPI 1457878084
-
- Emergency Medicine Physician
- Abbeville, SC
- NPI 1053534750
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1174002059
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
- Critical Access Hospital
- Clayton, GA
- NPI 1326191180
-
- Emergency Medicine Physician
- Elberton, GA
- NPI 1174917124
-
- Adult Medicine Physician
- Due West, SC
- NPI 1689048464
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gaffney, SC
- NPI 1205307378
-
- General Acute Care Hospital
- Greer, SC
- NPI 1982800397
-
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
-
- General Acute Care Hospital
- Union, SC
- NPI 1396129201
-
- Critical Access Hospital
- Clayton, GA
- NPI 1326191180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1629274964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743070",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743070",
"telephone_number": "864-560-4304",
"fax_number": "864-560-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WOOD ST",
"address_2": "EMERGENCY CENTER",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033040",
"telephone_number": "864-560-7025",
"fax_number": "864-560-7388"
}
],
"practiceLocations": [
{
"address_1": "162 Legacy Pt",
"address_purpose": "LOCATION",
"city": "Clayton",
"state": "GA",
"postal_code": "305255354",
"country_code": "US",
"telephone_number": "706-212-2350",
"fax_number": "706-212-2381",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "420 Thomson Cir",
"address_purpose": "LOCATION",
"city": "Abbeville",
"state": "SC",
"postal_code": "296205656",
"country_code": "US",
"telephone_number": "864-366-5011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUAN",
"first_name": "EMERSON",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "TL1106",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2007-00705",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "103711",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "1106",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "AA21748510",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5907926",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "20066217",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "201626",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011061",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "AA21749068",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ejuan52615@direct-srhs.et0939.epichosted.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ejuan52615@direct-srhs.et0939.epichosted.com",
"address_1": "101 E Wood St",
"address_2": "Emergency Center",
"city": "Spartanburg",
"state": "SC",
"country_code": "US",
"postal_code": "293033040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.