Individual provider Active NPI

Emerson Juan, DO

  • Emergency Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1629274964
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
103711 Issued in GA
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

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AA21748510OtherSCMEDICARE PIN
5907926MedicaidNC
20066217OtherSCSELECT HEALTH
201626OtherSCMEDCOST
011061MedicaidSC
AA21749068OtherSCMEDICARE PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ejuan52615@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071001000214 SC Practitioner - Emergency Medicine 9234224635 Reassigns benefits to 10 organizations
I20250507000897 GA Practitioner - Emergency Medicine 9234224635 Reassigns benefits to 2 organizations

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
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians
Pelham Medical CenterGroup PAC ID 2365519097, 132 clinicians

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

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
2007-00705NCMDEmergency Medicine Physician
TL1106SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pelham Medical Center CurrentSince Oct 1, 2008 Accepting new patients
Spartanburg Medical Center CurrentSince Aug 1, 2007 Accepting new patients
Southland Consolidated Emergency Services, LLC Emergency Medicine CurrentSince Mar 17, 2025 Accepting new patients
Professional Resources Management of Rabun, LLC Current Accepting new patients
Self Medical Group Current Accepting new patients
Abbeville County Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Ich ER Services, LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Edcare Consulting LLC Emergency Medicine CurrentSince Dec 3, 2022 Accepting new patients
Pelham Medical Center CurrentSince Oct 1, 2008 Accepting new patients
Greenville Health System CurrentSince Aug 15, 2016 Accepting new patients
Greenville Health System Current Accepting new patients
Spartanburg Medical Center Emergency Medicine CurrentSince Aug 1, 2007 Accepting new patients
App of South Carolina Ed PLLC Emergency Medicine CurrentSince Jul 13, 2019 Accepting new patients
Pelham Medical Center Emergency Medicine Current Accepting new patients
Self Medical Group CurrentSince Apr 15, 2025 Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Prisma Health-Upstate CurrentSince Oct 1, 2016 Accepting new patients
Self Medical Group Emergency Medicine CurrentSince Apr 15, 2025 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

  • Direct secure messaging: 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.

View all 20

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.