NPIMap

Individual provider Active NPI

Jonathan D King, MD

  • Otolaryngology Physician
  • Lexington, SC
National Provider Identifier
1811938830
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
19193 Issued in SC
Practice address
157 Corley Mill Rd
Lexington, SC 29072-7600
Phone
(803) 256-2483
Fax
(803) 779-4624
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 19193 SC Primary

Addresses

Primary practice location

157 Corley Mill Rd
Lexington, SC 29072-7600

Mailing address

300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8603

Other identifiers 5

IdentifierTypeStateIssuer
621111OtherSELECT HEALTH
C14633OtherRAILROAD MEDICARE GRP NUMBER
PA1382OtherMEDICAID GROUP NUMBER
040011784OtherRAILROAD MEDICARE
191937MedicaidSC

Other names 1

  • Dr. Jonathan D King Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000376 SC Practitioner - Otolaryngology 1658436381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Florida College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centa Medical Group PAGroup PAC ID 9335108778, 9 clinicians

Practice addresses (Care Compare)

157 Corley Mill Rd
Lexington, SC 29072-7600
Phone (803) 256-2483

Hospital & facility affiliations

  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19193SCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centa Medical Group PA Otolaryngology CurrentSince Aug 25, 1997 Accepting new patients

Locations

9 Richland Medical Park Dr
Ste 510
Columbia, SC 29203
Phone (803) 256-2483

157 Corley Mill Rd
Lexington, SC 29072
Phone (803) 256-2483

157 Corley Mill Rd
Ste 510
Lexington, SC 29072
Phone (803) 256-2483

Interoperability endpoints

  • Direct secure messaging: jking380637@direct.musc.edu

Organizations & group practices 1

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1811938830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012899",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CORLEY MILL RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727600",
            "telephone_number": "803-256-2483",
            "fax_number": "803-779-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "19193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "621111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP NUMBER",
            "identifier": "C14633",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP  NUMBER",
            "identifier": "PA1382",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040011784",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191937",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "KING",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.