Individual provider Active NPI

James B Polhill, PA-C

  • Surgical Physician Assistant
  • Augusta, GA
National Provider Identifier
1053327304
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
003262 Issued in GA
Practice address
811 13TH St Ste 20
Augusta, GA 30901-2771
Phone
(706) 722-3401
Fax
(706) 724-6540
NPI assigned
Jul 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003262 GA
Surgical Physician Assistant 363AS0400X 003262 GA Primary

Addresses

Primary practice location

811 13TH St Ste 20
Augusta, GA 30901-2771

Mailing address

811 13TH St
Ste 20
Augusta, GA 30901-2771
Phone (706) 722-3401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000666 GA Practitioner - Physician Assistant 5395705685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

2511 Associates Way
Evans, GA 30809-3106
Phone (706) 722-3401

3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797

4369 Evans to Locks Rd
Evans, GA 30809-4099
Phone (706) 863-9797

811 13TH St
Suite 20
Augusta, GA 30901-2771
Phone (706) 722-3401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.48 of 100Reported as group
Quality
56.49
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003262GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Augusta PA CurrentSince May 15, 2017 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Nov 15, 2023 Accepting new patients

Locations

1290 Interstate Pkwy
Augusta, GA 30909
Phone (706) 860-5383

3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797

811 13th St
Ste 20
Augusta, GA 30901
Phone (706) 722-3401

2511 Associates Way
Evans, GA 30809
Phone (706) 722-3401

150 Main St
Thomson, GA 30824
Phone (706) 595-1090

300 Jones Ave
Waynesboro, GA 30830
Phone (706) 702-5636

304 Jones Ave
Waynesboro, GA 30830
Phone (706) 437-0046

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17761/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4
  • Direct secure messaging: james.polhill.1@23890.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053327304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 13TH ST",
            "address_2": "STE 20",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012771",
            "telephone_number": "706-722-3401",
            "fax_number": "706-724-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 13TH ST STE 20",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012771",
            "telephone_number": "706-722-3401",
            "fax_number": "706-724-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLHILL",
        "first_name": "JAMES",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003262",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "003262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.