Active NPI
Justin Michael Garzone, D.O.
- Internal Medicine Physician
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2013-01843
- Practice address
- 1200 Hospital Dr
Mount Pleasant, SC 29464-3251 - Phone
- (843) 375-4000
- NPI assigned
- Mar 3, 2010
- Last updated
- May 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1307 | Other | SC | STATE LICENSE |
| 1770806804 | Medicaid | NC | |
| 013078 | Medicaid | SC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Internal Medicine | Current | Accepting new patients |
| Physicians Services Group, P.C. | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Hospitalist | Current | Accepting new patients |
| Georgetown Memorial Hospital | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Waccamaw Community Hospital | Current | Accepting new patients | |
| Georgetown Memorial Hospital | Current | 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
- 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.
-
dba Tidelands Georgetown Memorial Hospital
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
- Multi-Specialty Clinic/Center
- Greenville, SC
- NPI 1700357076
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Internal Medicine
-
dba Tidelands Waccamaw Community Hospital
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
-
- Multi-Specialty Clinic/Center
- Greenville, SC
- NPI 1417839754
-
- Pain Medicine Physician
- Fall River, MA
- NPI 1215896121
-
- Pain Medicine Physician
- Warwick, RI
- NPI 1710846639
-
dba Tidelands Health Skilled Care
- Skilled Nursing Facility
- Georgetown, SC
- NPI 1881307056
-
- Family Medicine Physician
- Sumter, SC
- NPI 1871080283
Hospitalist
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
dba Advanced Primary Care
- Family Medicine Physician
- Whiteville, NC
- NPI 1518263268
Internal Medicine
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
- Emily Beatty Gargis, MS, RDN, LD
- Jessica Marie Garnett, PT, DPT
- Michael Charles Garovich, MD
- Allyson Harrell Garrison, PA
- Gabriela Samantha Garshelis, APRN, APMH-NP
- Jessica Lauren Gaskins, PHARMD
- Juliette Gassert, AU.D.
- Gastrointestinal Surgical Specialists, LLC
- Natalie Louise Gauger, MS, CNS
- Paul Scott Gawrych Jr., DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.