DOMINIC ANDRE JUAREZ MD
NPI 1285480616
General Practice in Summerville, SC

Active since April 26, 2024PECOS Enrolled
295 MIDLAND PKWY, SUMMERVILLE, SC 29485(843) 970-5810 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominic Andre Juarez Md NPPES

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

DOMINIC ANDRE JUAREZ MD (NPI 1285480616) is an individual general practice provider in Summerville, South Carolina, licensed in South Carolina (92804) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1285480616
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDOMINIC ANDRE JUAREZCredential: MD
Location Address295 MIDLAND PKWYSummerville, SC 29485-8104
Mailing Address295 Midland PkwySummerville, SC 29485-8104 · (843) 970-5810
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 26, 2024
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
NPI 1285480616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in SC · 92804
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
295 MIDLAND PKWY, Summerville, SC 29485

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dominic Andre Juarez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507309697
PECOS Enrollment IDI20260203002267
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.

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.

Student in an Organized Health Care Education/Training Program
295 MIDLAND PKWY
SUMMERVILLE, SC 29485
Pediatrics (Neonatal-Perinatal Medicine)
295 MIDLAND PKWY
SUMMERVILLE, SC 29485
Student in an Organized Health Care Education/Training Program
295 MIDLAND PKWY, MEDICAL OFFICE BUILDING STE. 140
SUMMERVILLE, SC 29485
Student in an Organized Health Care Education/Training Program
295 MIDLAND PKWY
SUMMERVILLE, SC 29485
Internal Medicine
295 MIDLAND PKWY
SUMMERVILLE, SC 29485
Dietitian, Registered
295 MIDLAND PKWY
SUMMERVILLE, SC 29485
Pediatrics (Neonatal-Perinatal Medicine)
295 MIDLAND PKWY
SUMMERVILLE, SC 29485
Student in an Organized Health Care Education/Training Program
295 MIDLAND PKWY
SUMMERVILLE, SC 29485

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 Dominic Juarez's NPI number?

The NPI number for Dominic Juarez is 1285480616. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Where is Dominic Juarez located?

Dominic Juarez practices at 295 Midland Pkwy, Summerville, SC 29485. The listed phone number is (843) 970-5810.

What is Dominic Juarez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dominic Juarez enrolled in Medicare?

Yes. Dominic Juarez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominic Juarez was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.