James C Kearse III, MD
Individual provider Active NPI Family Medicine Physician · Lugoff, SC
NPI 1013969245 · NPPES record last updated Feb 24, 2012
Key facts
- NPI
- 1013969245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11510 (SC)
- Practice address
- 710 Dewitt Dr
Lugoff, SC 29078-9069 - Phone
- (803) 438-7566
- Fax
- (803) 438-4371
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 29
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Musc Community Physicians
Practice addresses (Care Compare)
2689 Hwy 1 S
Elgin, SC 29045-9055
Phone (803) 438-7698
Hospital & facility affiliations
- Amedisys Home Health of Camden
- Musc Health at Home Kershaw
- Centerwell Home Health-Pee Dee
- Prisma Health Tuomey
- Amedisys Home Health of Lexington
- Compassionate Care Hospice of South Carolina, LLC
- Musc Health Hospice Kershaw
- Kershawhealth
- Musc Medical Center
- Musc Health Columbia Medical Center Downtown
- Prisma Health Richland Hospital
- Prisma Health Baptist
- Kershaw Health Karesh Long Term Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 46 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 20 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050223000908 | SC | Practitioner - Family Practice | 2365495900 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11510 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Family Medicine | Current |
Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current |
Accepting new patients | |
| Sentinel Health Partners, PA | Past | Accepting new patients | |
| Sentinel Health Partners, PA | Past | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
2034 W DeKalb St
Camden, SC 29020
Phone (803) 438-0825
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
1344 Haile St
Camden, SC 29020
Phone (803) 254-3376
2001 Laurel St
Ste 300
Columbia, SC 29204
Phone (803) 254-2786
120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320
2689 Highway 1 S
Elgin, SC 29045
Phone (803) 438-7698
216 E Marion St
Kershaw, SC 29067
Phone (803) 475-3350
710 Dewitt Dr
Lugoff, SC 29078
Phone (803) 233-1730
Interoperability endpoints
- jkearse379586@direct.musc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11510 | SC | Yes |
Addresses
Primary practice location
710 Dewitt Dr
Lugoff, SC 29078-9069
Mailing address
PO Box 1259
Sentinel Health Partners PA
Camden, SC 29021-1259
Phone (803) 713-8350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115100 | Medicaid | SC | |
| 080100775 | Other | SC | RAILROAD MEDICARE PIN |
| 26259 | Other | MEDCOST PIN |
Other providers in Lugoff, SC
- Marie Jacka
- Sydney Jennings
- Cara Elise Jones
- Robert Kabakjian Sr.
- Min Kang
- Crystal Keith
- Kershaw County Medical Center
- Kershaw Hospital LLC
- Kershaw Hospital LLC
- Kershawhealth
All providers in Lugoff, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.