NPIMap

Individual provider Active NPI

Conigliaro Jones, MD

  • Family Medicine Physician
  • Columbia, SC
National Provider Identifier
1811967458
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22363 Issued in SC
Practice address
1707 Bernardin Ave
Suite C
Columbia, SC 29204-2004
Phone
(803) 376-8875
Fax
(803) 376-8004
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22363 SC Primary

Addresses

Primary practice location

1707 Bernardin Ave
Suite C
Columbia, SC 29204-2004

Mailing address

1707 Bernardin Ave
Suite C
Columbia, SC 29204-2004
Phone (803) 376-8875

Other identifiers 1

IdentifierTypeStateIssuer
223635MedicaidSC

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
I20040503000345 SC Practitioner - Family Practice 4789672528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2701 Middleburg Dr
Columbia, SC 29204-2405
Phone (803) 376-8875

Hospital & facility affiliations

  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Amedisys Home Health of Camden Home health agency, Camden, SC, CCN 427036
  • Pruitthealth Hospice- Columbia Hospice, Columbia, SC, CCN 421565
  • United Hospice of the Pee Dee Hospice, Florence, SC, CCN 421556
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • PruittHealth- Blythewood Nursing home, Columbia, SC, CCN 425400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Mar 2, 2023 Accepting new patients
TLM Medical Services, LLC CurrentSince Jan 1, 2009 Accepting new patients
SC House Calls Inc Family Medicine CurrentSince Mar 2, 2023 Accepting new patients

Locations

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

2701 Middleburg Dr
Columbia, SC 29204
Phone (803) 254-2786

1707 Bernardin Ave
Ste C
Columbia, SC 29204
Phone (803) 376-8875

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: conigliaro.jones.1@7602.direct.athenahealth.com
  • Direct secure messaging: conigliaro.jones.1@29618.direct.athenahealth.com

Organizations & group practices 3

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 10

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1811967458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 BERNARDIN AVE",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042004",
            "telephone_number": "803-376-8875",
            "fax_number": "803-376-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 BERNARDIN AVE",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042004",
            "telephone_number": "803-376-8875",
            "fax_number": "803-376-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CONIGLIARO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "22363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223635",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.