Active NPI
Jonathan Buchanan, FNP-BC
- Family Medicine Physician
- Myrtle Beach, SC
National Provider Identifier
1801682240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29858
- Practice address
- 1301 48TH Ave N Ste B
Myrtle Beach, SC 29577-5427 - Phone
- (843) 497-1441
- NPI assigned
- Apr 15, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29858 | SC | Primary |
| Occupational Health Nurse Practitioner | 363LX0106X | 29858 | SC |
Addresses
Primary practice location
1301 48TH Ave N Ste B
Myrtle Beach, SC 29577-5427
Mailing address
102 Spanish Oak Dr
Myrtle Beach, SC 29575-4728
Phone (843) 344-3448
Other practice location 1
1120 2nd Ave S
North Myrtle Beach, SC 29582-3108
Phone (854) 504-1440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29858 | SC | MD | Family Medicine Physician |
Interoperability endpoints
- jonathan.buchanan.3@23284.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1801682240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 SPANISH OAK DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295754728",
"telephone_number": "843-344-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 48TH AVE N STE B",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775427",
"telephone_number": "843-497-1441"
}
],
"practiceLocations": [
{
"address_1": "1120 2nd Ave S",
"address_purpose": "LOCATION",
"city": "North Myrtle Beach",
"state": "SC",
"postal_code": "295823108",
"country_code": "US",
"telephone_number": "854-504-1440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCHANAN",
"first_name": "JONATHAN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-15",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "29858",
"primary": true
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "SC",
"license": "29858",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.