Jon Allen Carmain, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Mount Pleasant, SC
NPI 1871542035 · NPPES record last updated Jul 30, 2009
Key facts
- NPI
- 1871542035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 036115619 (IL)
- Practice address
- 1241 Woodland Avenue
Mount Pleasant, SC 29464 - Phone
- (843) 824-0606
- Fax
- (843) 824-9125
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Virginia Commonwealth University, School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pelican II LLC
Charleston Radiologists PA
Palmetto Primary Care Physicians LLC
Practice addresses (Care Compare)
1241 Woodland Ave
Mt Pleasant, SC 29464-3288
Phone (843) 881-4020
2550 Elms Ctr Rd
North Charleston, SC 29406-9844
Phone (843) 695-6071
2880 Tricom St
N Charleston, SC 29406-9171
Phone (843) 797-5050
295 Midland Pkwy
Summerville, SC 29485-8104
Phone (866) 717-9687
501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (866) 717-9687
8330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (866) 717-9687
Hospital & facility affiliations
- Trident Medical Center
- Colleton Medical Center
- Musc Medical Center
- Bon Secours-St Francis Xavier Hospital
- Roper Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090609000512 | SC | Practitioner - Diagnostic Radiology |
6103856232 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Radiologists PA | Diagnostic Radiology | Current |
Accepting new patients |
| Palmetto Primary Care Physicians, LLC | Current |
Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Pelican II, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Advanced Diagnostic Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404
1241 Woodland Ave
Mt Pleasant, SC 29464
Phone (843) 881-4020
2500 Elms Center Rd
North Charleston, SC 29406
Phone (763) 348-2075
2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036115619 | IL | Yes |
Addresses
Primary practice location
1241 Woodland Avenue
Mount Pleasant, SC 29464
Mailing address
1241 Woodland Avenue
Mount Pleasant, SC 29464
Phone (843) 824-0606
NPI Registry JSON
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1871542035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 WOODLAND AVENUE",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-824-0606",
"fax_number": "843-824-9125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 WOODLAND AVENUE",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-824-0606",
"fax_number": "843-824-9125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMAIN",
"first_name": "JON",
"middle_name": "ALLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036115619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
- Care Partners South Carolina Medical PC
- Careconnectmd South Carolina P.C.
- Joseph Gerald Carew
- Madison Carlile
- Elizabeth Claire Carlisle
- Kristina Melanie Carman
- Erin Carmichael
- Ian Dale Carmichael
- Carolina Aesthetic Plastic Surgery Institute PA
- Carolina Arrhythmia Consultants
All providers in Mount Pleasant, SC · Diagnostic Radiology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.