Active NPI
Jack Parks Arthur, PA-C
- Surgical Physician Assistant
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219 - Phone
- (864) 583-2662
- NPI assigned
- Nov 3, 2021
- Last updated
- Apr 4, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4227 | SC | |
| Physician Assistant | 363A00000X | SC | ||
| Surgical Physician Assistant | 363AS0400X | NU | Primary |
Addresses
Primary practice location
1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219
Mailing address
1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219
Phone (864) 582-6396
Other practice location 1
115 Deacon Tiller Ct
Duncan, SC 29334-8880
Phone (864) 583-2662
Other practice location 2
1166 Woodburn Rd
Spartanburg, SC 29302-3411
Phone (864) 426-7360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4927PA | Medicaid | SC | |
| SCL8957628 | Other | SC | MEDICARE PIN |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Deacon Tiller CT
Duncan, SC 29334-8880
Phone (864) 582-6396
1330 Boiling Springs Rd
Suite 1600
Spartanburg, SC 29303-4219
Phone (864) 582-6396
220 Roper Mountain Rd Ext
Greenville, SC 29615-4886
Phone (864) 582-6396
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.05 of 100
- Quality
- 68.98
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 67.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4227 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Orthopaedic and Neurosurgical Associates | Current | Accepting new patients | |
| Spartanburg Regional Med Ctr | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients |
Locations
115 Deacon Tiller Ct
Duncan, SC 29334
Phone (864) 582-6396
100 E Wood St
Spartanburg, SC 29303
Phone (864) 560-7070
1330 Boiling Springs Rd
Ste 1600
Spartanburg, SC 29303
Phone (864) 582-6396
853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928
Interoperability endpoints
- jack.arthur.1@26879.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Spartanburg, SC
- NPI 1568454056
-
dba Medical Group of the Carolinas-Vascular Access Surgery-Pelham
- Surgery Physician
- Greer, SC
- NPI 1760114664
-
dba Medical Group of the Carolinas Pain Management Wood Street
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
-
dba Magnolia Plastic Surgery-Rocky Slope
- Plastic Surgery Physician
- Greenville, SC
- NPI 1700176054
-
- Orthopaedic Surgery Physician
- Columbus, NC
- NPI 1083309074
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Spartanburg Medical Center- Psychiatric Unit
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
dba Spartanburg Medical Center-Center for Rehabilitative Medicine
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1922763069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 BOILING SPRINGS RD STE 1600",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034219",
"telephone_number": "864-582-6396",
"fax_number": "864-249-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BOILING SPRINGS RD STE 1600",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034219",
"telephone_number": "864-583-2662"
}
],
"practiceLocations": [
{
"address_1": "115 Deacon Tiller Ct",
"address_purpose": "LOCATION",
"city": "Duncan",
"state": "SC",
"postal_code": "293348880",
"country_code": "US",
"telephone_number": "864-583-2662",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1166 Woodburn Rd",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293023411",
"country_code": "US",
"telephone_number": "864-426-7360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARTHUR",
"first_name": "JACK",
"middle_name": "PARKS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-03",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "4227",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4927PA",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SCL8957628",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
- Ernest Arnold, MD
- Justin Wayne Arnold, DO
- Brian Arrington, MSPT
- Kamila Vladimirovna Artemenko
- Arthritis Care & Therapy Center
- Karen Dawn Arthur, M.A., CF-SLP
- Phillip James Arthur, D.C.
- Articularis Healthcare Group Inc. (Carolina Upstate Rheumatology)
- Adam Brunson Asbill, PHARMACIST
- Ashley Kemp Counseling, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.