Joseph Deer Thomas Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

09827 Issued in SC

Practice address

606 R Pinckney Street
MC Clellanville, SC 29458

Phone

(843) 398-8838

Fax

(843) 398-8839

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lowcountry Medical Associates

  • Family Medicine Physician
  • Goose Creek, SC
  • NPI 1336199629
  NPD (past)
• Lowcountry Medical Associates

  • Family Medicine Physician
  • Mt Pleasant, SC
  • NPI 1689624447
  NPD (past)
• Lowcountry Medical Associates

  • Internal Medicine Physician
  • Moncks Corner, SC
  • NPI 1790735975
  NPD (past)
• Roper Hospital, Inc.

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1366591703
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1750320305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "address_2": "606 R PINCKNEY ST.",
            "city": "MC CLELLANVILLE",
            "state": "SC",
            "postal_code": "294580636",
            "telephone_number": "843-398-8838",
            "fax_number": "843-398-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 R PINCKNEY STREET",
            "city": "MC CLELLANVILLE",
            "state": "SC",
            "postal_code": "29458",
            "telephone_number": "843-398-8838",
            "fax_number": "843-398-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOSEPH",
        "middle_name": "DEER",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "SC",
            "license": "09827",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "09827",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "SC",
            "license": "09827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098272",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00313042",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080180703",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Scott
• Shoreline Imaging
• Katharine Claussen Smith, D.M.D
• St James Health and Wellness Inc
• Martha Stilwell, PT
• Laura Jean Varadi, DMD
• Sara Elizabeth Weeks, ED. S., LPES, BCBA

• Family Medicine Physician in MC Clellanville, SC
• Providers in MC Clellanville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.