Active NPI
James William Woodham, MD
- Emergency Medicine Physician
- Bennettsville, SC
National Provider Identifier
1033186572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 17194
- Practice address
- 1138 Cheraw Hwy
Bennettsville, SC 29512 - Phone
- (843) 479-2881
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17194 | SC | Primary |
| Surgery Physician | 208600000X | 17194 | SC |
Addresses
Primary practice location
1138 Cheraw Hwy
Bennettsville, SC 29512
Mailing address
1092 Lesesne Dr
Manning, SC 29102-4634
Phone (803) 478-5963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T10306 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E Jackson St Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Marlboro Emergency Group PC | Emergency Medicine | Past | Accepting new patients |
| Williamsburg Regional Hospital | Past | Accepting new patients | |
| Pee Dee Foot Center, PA | Past | Accepting new patients | |
| Emergency Physician Specialists Inc | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Dillon, SC
- NPI 1932398773
-
- Emergency Medicine Physician
- Bennettsville, SC
- NPI 1942364674
-
- Foot & Ankle Surgery Podiatrist
- Kingstree, SC
- NPI 1518048404
-
- Emergency Medicine Physician
- Davenport, FL
- NPI 1912973850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1033186572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1092 LESESNE DR",
"city": "MANNING",
"state": "SC",
"postal_code": "291024634",
"telephone_number": "803-478-5963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 CHERAW HWY",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "29512",
"telephone_number": "843-479-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODHAM",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "17194",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "17194",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T10306",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bennettsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.