NPIMap

Individual provider Active NPI

John Bennett Schenck, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Summerville, SC
National Provider Identifier
1942362793
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
22409 Issued in SC
Practice address
204 Parsons Rd
Summerville, SC 29483-3348
Phone
(854) 201-3636
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 22409 SC Primary

Addresses

Primary practice location

204 Parsons Rd
Summerville, SC 29483-3348

Mailing address

204 Parsons Rd
Summerville, SC 29483-3348
Phone (854) 201-3636

Other identifiers 1

IdentifierTypeStateIssuer
224091MedicaidSC

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
I20070618000481 SC Practitioner - Endocrinology 7810930922 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of South Carolina School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6193

853 N Church St
720C
Spartanburg, SC 29303-3003
Phone (864) 560-6419

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Endocrinology, LLC Endocrinology, Diabetes & Metabolism CurrentSince Mar 2, 2020 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Apr 1, 2021 Accepting new patients
Spartanburg Medical Center Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2025 Accepting new patients
Spartanburg Medical Center Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2021 Accepting new patients
Spartanburg Medical Center Endocrinology, Diabetes & Metabolism Current Accepting new patients

Locations

2755 S Highway 14
Ste 2500
Greer, SC 29650
Phone (864) 560-6844

853 N Church St
Ste 720C
Spartanburg, SC 29303
Phone (864) 560-6419

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHFACD

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1942362793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PARSONS RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833348",
            "telephone_number": "854-201-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PARSONS RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833348",
            "telephone_number": "854-201-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENCK",
        "first_name": "JOHN",
        "middle_name": "BENNETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "22409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224091",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.