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

Dr. Jonathan Jay Liu, MD

Individual provider Family Medicine Physician · NPI 1639103039

Dr. Jonathan Jay Liu, MD is a Family Practice in Lake Wylie, South Carolina. Graduated from Brody School of Medicine at East Carolina University in 2004, 22 years ago. Practices with Caromont Medical Group Inc, a 417-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and South Carolina.

Years since qualifying
22
Trained at
Brody School of Medicine at East Carolina University
Licensed in
NC, SC
In the registry since
2006
Specialties on file
2
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

1200 Village Harbor Dr
Lake Wylie, SC 29710-9092
Phone: (803) 631-2858
Fax: (803) 631-2862
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 28083 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2016-02298 (NC)

Record details

NPI number1639103039
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJune 23, 2022
Certification dateFebruary 19, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice Caromont Medical Group Inc — 417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Lake Wylie