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

Mr. John Cenarosa Paguntalan, NP

Individual provider Nurse Practitioner · NPI 1669664728

Mr. John Cenarosa Paguntalan, NP is a Nurse Practitioner in Greenwood, South Carolina. Qualified in 2001, 25 years ago. Practices with Self Medical Group, a 396-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
25
Licensed in
SC
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

105 Vinecrest Ct # 510
Greenwood, SC 29646-8031
Phone: (864) 725-4016
Fax: (864) 725-5839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 421 Epting Ave, Greenwood, SC 29646-4041 — (864) 227-6818

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 905 (SC)

Record details

NPI number1669664728
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 13, 2007
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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