NPIMap

Individual provider Active NPI

James Dallis, M.D.

  • Orthopaedic Surgery Physician
  • Clinton, SC
National Provider Identifier
1003850496
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
37601 Issued in SC
Practice address
22725 Highway 76 E Ste a
Clinton, SC 29325-7527
Phone
(864) 833-4545
Fax
(864) 358-7643
NPI assigned
Jun 15, 2006
Last updated
May 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 071483 GA
Orthopaedic Surgery Physician 207X00000X 37601 SC Primary

Addresses

Primary practice location

22725 Highway 76 E Ste a
Clinton, SC 29325-7527

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697

Other practice location 1

800 Austin Dr
Demorest, GA 30535-4508
Phone (706) 839-4096

Other practice location 2

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Phone (850) 883-8600

Other identifiers 1

IdentifierTypeStateIssuer
0003174622GMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC, GA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091103000429 VA Practitioner - Orthopedic Surgery 4486641198 Reassigns benefits to 1 organization
I20150120000859 SC Practitioner - Orthopedic Surgery 4486641198
I20160224000188 GA Practitioner - Orthopedic Surgery 4486641198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Stony Brook, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

106 Doctors Park
Galax, VA 24333-2276
Phone (276) 236-5161

961 E Stuart Dr
Galax, VA 24333-2407
Phone (276) 238-0439

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
071483GAMDOrthopaedic Surgery Physician
37601SCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC CurrentSince Jul 1, 2025 Accepting new patients
Southern Regional Physicians Management Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
The Hospital Authority of Habersham County CurrentSince Feb 17, 2018 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Jul 1, 2025 Accepting new patients
The Hospital Authority of Habersham County Current Accepting new patients
The Hospital Authority of Habersham County CurrentSince Feb 17, 2018 Accepting new patients
DLP Twin County Physician Practices LLC Current Accepting new patients
Orthopaedic Specialists of the Carolinas, P.a. Past Accepting new patients
DLP Twin County Physician Practices LLC Past Accepting new patients
Tidewater Physicians Multispecialty Group PC Past Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients
Wythe County Physician Practices LLC Orthopaedic Surgery Past Accepting new patients

Locations

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

800 Austin Dr
Demorest, GA 30535
Phone (706) 839-4092

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

33 Upper Riverdale Rd SW
Ste 111
Riverdale, GA 30274
Phone (770) 968-7933

33 Upper Riverdale Rd SW
Ste 17
Riverdale, GA 30274
Phone (770) 897-7043

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

Networks

  • KY PPO
  • TN PPO C-SNP
  • KY PPO C-SNP
  • TN PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD
  • Direct secure messaging: james.dallis.1@10112.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1003850496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-695-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 HIGHWAY 76 E STE A",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257527",
            "telephone_number": "864-833-4545",
            "fax_number": "864-358-7643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Austin Dr",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354508",
            "country_code": "US",
            "telephone_number": "706-839-4096",
            "fax_number": "706-839-4097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Boatner Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Eglin AFB",
            "state": "FL",
            "postal_code": "325421302",
            "country_code": "US",
            "telephone_number": "850-883-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALLIS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "071483",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "37601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003174622G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.