Active NPI
James Lee Jewell, MD
- Geriatric Medicine (Family Medicine) Physician
- Rock Hill, SC
National Provider Identifier
1063413136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 12269
- Practice address
- 1147 Ebenezer Rd
Rock Hill, SC 29732-2355 - Phone
- (803) 329-6648
- Fax
- (803) 985-4134
- NPI assigned
- Aug 10, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 12269 | SC | Primary |
Addresses
Primary practice location
1147 Ebenezer Rd
Rock Hill, SC 29732-2355
Mailing address
1218 Auburndale LN
Rock Hill, SC 29732-9600
Phone (803) 366-4818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122691/GP2323 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100115000633 | SC | Practitioner - Geriatric Medicine | 5193771285 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12269 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Health Connection | Geriatric Medicine | Past | Accepting new patients |
| Andrea Hope Speech Pathology LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Rock Hill, SC
- NPI 1942568829
-
- Geriatric Medicine (Family Medicine) Physician
- Charlotte, NC
- NPI 1578597555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1063413136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 AUBURNDALE LN",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297329600",
"telephone_number": "803-366-4818",
"fax_number": "803-366-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1147 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322355",
"telephone_number": "803-329-6648",
"fax_number": "803-985-4134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL",
"first_name": "JAMES",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "SC",
"license": "12269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122691/GP2323",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.