Individual provider Active NPI

Jon Michael Ross, PA-C

  • Physician Assistant
  • Easley, SC
National Provider Identifier
1689010332
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3408 Issued in SC
Practice address
139 Grace Dr
Easley, SC 29640-9088
Phone
(833) 365-7246
NPI assigned
May 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3408 SC Primary
Physician Assistant 363A00000X 004056 OH

Addresses

Primary practice location

139 Grace Dr
Easley, SC 29640-9088

Mailing address

201A Richard St
Easley, SC 29640-1442
Phone (833) 365-7246

Other practice location 1

9 Walden Ridge Dr Ste 10
Asheville, NC 28803-8592
Phone (833) 365-7246

Other practice location 2

5710 Oleander Dr Ste 201
Wilmington, NC 28403-4722
Phone (833) 365-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200908001034 SC Practitioner - Physician Assistant 3173763877 Reassigns benefits to 1 organization
I20250701001214 NC Practitioner - Physician Assistant 3173763877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Pittsburgh School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Pain Solutions PLLCGroup PAC ID 0749573012, 11 clinicians

Practice addresses (Care Compare)

139 Grace Dr
Easley, SC 29640-9088
Phone (833) 365-7246

9 Walden Ridge Dr
Suite 10
Asheville, NC 28803-8592
Phone (828) 221-0121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004056OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Solutions PLLC CurrentSince Aug 1, 2023 Accepting new patients
Allegheny Clinic Past Accepting new patients
Allegheny Clinic Past Accepting new patients
Premier Pain Solutions PLLC Past Accepting new patients

Locations

1091 Hendersonville Rd
Ste 101
Asheville, NC 28803
Phone (828) 221-0121

9 Walden Ridge Dr
Ste 10
Asheville, NC 28803
Phone (828) 221-0121

48 Hospital Dr
Columbus, NC 28722
Phone (828) 894-0978

155 W Mills St
Ste 204
Columbus, NC 28722
Phone (828) 221-0222

5710 Oleander Dr
Ste 201
Wilmington, NC 28403
Phone (828) 221-0121

139 Grace Dr
Easley, SC 29640

201 Richard St
#A
Easley, SC 29640
Phone (828) 221-0121

300 Regent Park Ct
Greenville, SC 29607
Phone 8556637772704

2082 Woodruff Rd
Unit A
Greenville, SC 29607
Phone (866) 432-6178

210 Overland Dr
Greenwood, SC 29646
Phone (864) 227-8308

Organizations & group practices 5

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.

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1689010332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201A RICHARD ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401442",
            "telephone_number": "833-365-7246",
            "fax_number": "828-348-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 GRACE DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296409088",
            "telephone_number": "833-365-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Walden Ridge Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288038592",
            "country_code": "US",
            "telephone_number": "833-365-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5710 Oleander Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034722",
            "country_code": "US",
            "telephone_number": "833-365-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JON",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3408",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "004056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.