Individual provider Active NPI

Gregory Jones, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Florence, SC
National Provider Identifier
1790758258
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
13953 Issued in SC
Practice address
805 Pamplico Hwy Ste B300
Florence, SC 29505-6081
Phone
(843) 676-2760
Fax
(843) 676-2762
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 13953 SC Primary

Addresses

Primary practice location

805 Pamplico Hwy Ste B300
Florence, SC 29505-6081

Mailing address

805 Pamplico Hwy Ste B300
Florence, SC 29505-6081
Phone (843) 676-2760

Other identifiers 2

IdentifierTypeStateIssuer
202935692047OtherSCBLUE CROSS ID NO.
TL5884MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gjones252935@direct.musc.edu Direct

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
I20061214000357 SC Practitioner - Thoracic Surgery 8325047616 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
Carolina Family Care CurrentSince Mar 1, 2019 Accepting new patients

Locations

1925 Hoffmeyer Rd
Florence, SC 29501
Phone (843) 661-4390

805 Pamplico Hwy
Ste B300
Florence, SC 29505
Phone (843) 673-7529

805 Pamplico Hwy
Ste 300
Florence, SC 29505
Phone (843) 679-2760

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1790758258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY STE B300",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056081",
            "telephone_number": "843-676-2760",
            "fax_number": "843-676-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY STE B300",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056081",
            "telephone_number": "843-676-2760",
            "fax_number": "843-676-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "13953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID NO.",
            "identifier": "202935692047",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL5884",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gjones252935@direct.musc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "805 Pamplico Hwy Ste B300",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295056081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.