Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jon Dubose, MD

Individual provider Pediatrics Physician · NPI 1114920162

Dr. Jon Dubose, MD is a Hospitalist in Tarboro, North Carolina. Graduated from University of South Carolina School of Medicine in 1999, 27 years ago. Practices with Ies South Carolina LLC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
27
Trained at
University of South Carolina School of Medicine
Licensed in
NC, SC
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

111 Hospital Dr
Tarboro, NC 27886-2011
Phone: (252) 641-7700
Fax: (252) 641-7313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Grove Rd Fl 5, Greenville, SC 29605-4210 — (864) 455-4411

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 200101440 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 200101440 (NC)
Hospitalist Physician Taxonomy 208M00000X · Licence 87299 (SC)

Record details

NPI number1114920162
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address111 Hospital Dr, Tarboro, NC 27886-2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Ies South Carolina Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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