Active NPI
Zaundra E. Jones, M.D.
- Family Medicine Physician
- Myrtle Beach, SC
National Provider Identifier
1902803224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27526
- Practice address
- 4591 Socastee Blvd
Myrtle Beach, SC 29588-7209 - Phone
- (843) 497-5929
- Fax
- (843) 293-1115
- NPI assigned
- Jul 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27526 | SC | Primary |
Addresses
Primary practice location
4591 Socastee Blvd
Myrtle Beach, SC 29588-7209
Mailing address
4615 Oleander Dr
Suite 201a
Myrtle Beach, SC 29577-5741
Phone (843) 449-9559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275268 | Medicaid | SC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041221000341 | SC | Practitioner - Family Practice | 8123086204 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Carenow Urgent Care, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1902803224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4615 OLEANDER DR",
"address_2": "SUITE 201A",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775741",
"telephone_number": "843-449-9559",
"fax_number": "843-497-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4591 SOCASTEE BLVD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295887209",
"telephone_number": "843-497-5929",
"fax_number": "843-293-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ZAUNDRA",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "27526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275268",
"state": "SC"
}
],
"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 Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.