Individual provider Active NPI

Justin Michael Garzone, D.O.

  • Internal Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1770806804
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2013-01843 Issued in NC
Practice address
1200 Hospital Dr
Mount Pleasant, SC 29464-3251
Phone
(843) 375-4000
NPI assigned
Mar 3, 2010
Last updated
May 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1307 SC
Internal Medicine Physician 207R00000X 2013-01843 NC Primary
Hospitalist Physician 208M00000X 1307 SC
Hospitalist Physician 208M00000X 2013-01843 NC

Addresses

Primary practice location

1200 Hospital Dr
Mount Pleasant, SC 29464-3251

Mailing address

1201 Central Haven Dr
Apt 1115
Mount Pleasant, SC 29464-3791
Phone (862) 432-2967

Other practice location 1

129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-9680

Other identifiers 3

IdentifierTypeStateIssuer
1307OtherSCSTATE LICENSE
1770806804MedicaidNC
013078MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101208001279 SC Practitioner - Internal Medicine 6608063235 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Internal Medicine CurrentSince Mar 18, 2020 Accepting new patients
Physicians Services Group, P.C. CurrentSince Dec 15, 2025 Accepting new patients
Prisma Health Medical Group-Midlands Hospitalist Current Accepting new patients
Georgetown Memorial Hospital CurrentSince Apr 1, 2022 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 18, 2020 Accepting new patients
Waccamaw Community Hospital CurrentSince Apr 1, 2022 Accepting new patients
Georgetown Memorial Hospital CurrentSince Apr 1, 2022 Accepting new patients
Columbus Regional Health Network Internal Medicine Past Accepting new patients

Locations

14 Richland Medical Park Dr
Ste 320
Columbia, SC 29203
Phone (803) 434-1663

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

2 Griffith Rd
Greenville, SC 29607
Phone (864) 276-8583

8595 Pelham Rd
Ste 400
Greenville, SC 29615
Phone (864) 316-8984

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

Interoperability endpoints

  • Direct secure messaging: jgarzone183578@direct.musc.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1770806804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CENTRAL HAVEN DR",
            "address_2": "APT 1115",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643791",
            "telephone_number": "862-432-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HOSPITAL DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643251",
            "telephone_number": "843-375-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504949",
            "country_code": "US",
            "telephone_number": "803-774-9680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZONE",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "1307",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2013-01843",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "1307",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2013-01843",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1307",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770806804",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013078",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.