NPIMap

Individual provider Active NPI

Jonathan Thomas Hanson, DO

  • Cardiovascular Disease Physician
  • Greenville, SC
National Provider Identifier
1689101511
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
89684 Issued in SC
Practice address
2 Innovation Dr Ste 400
Greenville, SC 29607-5270
Phone
(864) 233-5971
NPI assigned
May 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 009056 GA
Cardiovascular Disease Physician 207RC0000X 89684 SC Primary

Addresses

Primary practice location

2 Innovation Dr Ste 400
Greenville, SC 29607-5270

Mailing address

PO Box 631341
Cincinnati, OH 45263-1341
Phone (804) 627-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220406001291 GA Practitioner - Hospitalist 2365718822 Reassigns benefits to 1 organization
I20230816003552 SC Practitioner - Internal Medicine 2365718822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Campbell Univ School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (513) 853-8520

125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 675-4000

2 Innovation Dr
Suite 400
Greenville, SC 29607-5270
Phone (864) 235-7665

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

3970 Grandview Dr
Simpsonville, SC 29680-3163

702 N a St
Easley, SC 29640-2142
Phone (864) 859-9855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89684SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Apr 1, 2022 Accepting new patients
Au Medical Associates Inc CurrentSince Apr 1, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Cardiovascular Disease CurrentSince Jul 30, 2023 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Jul 30, 2023 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

2 Innovation Dr
Ste 330
Greenville, SC 29607
Phone (864) 235-7665

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

2 Innovation Dr
Ste 400
Greenville, SC 29607
Phone (864) 235-7665

3970 Grandview Dr
Ste 2300
Simpsonville, SC 29680
Phone (864) 235-7665

Organizations & group practices 4

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 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1689101511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631341",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631341",
            "telephone_number": "804-627-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INNOVATION DR STE 400",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075270",
            "telephone_number": "864-233-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JONATHAN",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "009056",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "89684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.