Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JONATHAN STEPHENS PA-C
NPI 1114535077
Physician Assistant - Surgical in Conway, SC

Active since July 16, 2020PECOS Enrolled
2376 CYPRESS CIR STE 300, CONWAY, SC 29526(843) 347-8041 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 15, 2026, May 12, 2022, Jul 24, 2020 and 1 more (4 updates tracked since 2020).

About Mr. Jonathan Stephens Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JONATHAN STEPHENS PA-C (NPI 1114535077) is an individual surgical provider in Conway, South Carolina, licensed in South Carolina (6378) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System- Brunswick Campus, and maintains a secondary practice location in Myrtle Beach.

NPPES Registry Identity

NPI1114535077
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JONATHAN STEPHENSCredential: PA-C
Location Address2376 CYPRESS CIR STE 300Conway, SC 29526-8995
Mailing Address300 Singleton Ridge Rd, Att Pns CredentialingConway, SC 29526-9142 · (843) 234-6996
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 16, 2020
Last NPPES UpdateSeptember 15, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1114535077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in SC · 6378✔ Licensed in NY · 025354
2376 CYPRESS CIR STE 300, Conway, SC 29526

Secondary Practice Location 1

Location 16010 Highway 707 Ste 300Myrtle Beach, SC 29588-7321 · Phone (843) 347-8041

Other Identifiers 1

Medicaid8975PASC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jonathan Stephens Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385063122
PECOS Enrollment IDI20240531003912
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeast Georgia Health System- Brunswick Campus

Acute Care Hospitals · Brunswick, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110025
Location2415 Parkwood DriveBrunswick, GA 31520 · Glynn County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2376 CYPRESS CIR STE 300
CONWAY, SC 29526
Orthopaedic Surgery (Hand Surgery)
2376 CYPRESS CIR STE 300
CONWAY, SC 29526
Physician Assistant (Surgical)
2376 CYPRESS CIR STE 300
CONWAY, SC 29526
Physician Assistant
2376 CYPRESS CIR STE 300
CONWAY, SC 29526
Podiatrist (Foot & Ankle Surgery)
2376 CYPRESS CIR STE 300
CONWAY, SC 29526
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2376 CYPRESS CIR STE 300
CONWAY, SC 29526
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2376 CYPRESS CIR STE 300
CONWAY, SC 29526
Physician Assistant
2376 CYPRESS CIR STE 300
CONWAY, SC 29526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Stephens's NPI number?

The NPI number for Jonathan Stephens is 1114535077. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Jonathan Stephens located?

Jonathan Stephens practices at 2376 Cypress Cir Ste 300, Conway, SC 29526. The listed phone number is (843) 347-8041.

What is Jonathan Stephens's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jonathan Stephens enrolled in Medicare?

Yes. Jonathan Stephens is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Stephens accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jonathan Stephens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jonathan Stephens affiliated with any hospitals?

According to CMS data, Jonathan Stephens is affiliated with Southeast Georgia Health System- Brunswick Campus.

When was this NPI record last updated?

The NPPES record for Jonathan Stephens was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.