Active NPI
John Robert Dunn III, M.D.
- Family Medicine Physician
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD9312
- Practice address
- 3316 Platt Springs Rd
West Columbia, SC 29170-2247 - Phone
- (803) 796-1521
- Fax
- (803) 794-7061
- NPI assigned
- Jan 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 9312 | SC | |
| Family Medicine Physician | 207Q00000X | MD9312 | SC | Primary |
| General Practice Physician | 208D00000X | MD9312 | SC |
Addresses
Primary practice location
3316 Platt Springs Rd
West Columbia, SC 29170-2247
Mailing address
3316 Platt Springs Rd
West Columbia, SC 29170-2247
Phone (803) 796-1521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093124 | 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 |
|---|---|---|---|---|
| I20120403000000 | SC | Practitioner - Family Practice | 5496915357 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3316 Platt Springs Rd
West Columbia, SC 29170-2247
Phone (803) 796-1521
Hospital & facility affiliations
- Amedisys Home Health of Lexington
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9312 | SC | MD | Counselor |
| MD9312 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springdale Family Practice | Single Specialty | Current | Accepting new patients |
Locations
3316 Platt Springs Rd
West Columbia, SC 29170
Phone (803) 796-1521
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- West Columbia, SC
- NPI 1912065327
SC, Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lexington, SC
- NPI 1760430375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1962687384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 PLATT SPRINGS RD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291702247",
"telephone_number": "803-796-1521",
"fax_number": "803-794-7061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3316 PLATT SPRINGS RD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291702247",
"telephone_number": "803-796-1521",
"fax_number": "803-794-7061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "JOHN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-03",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "SC",
"license": "9312",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "SC",
"license": "MD9312",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "SC",
"license": "MD9312",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093124",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.