James Louis Dedonis, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

20887 Issued in SC

Practice address

2835 E Highway 76 Ste 5
Mullins, SC 29574-6038

Phone

(843) 431-2171

Fax

(843) 431-2999

NPI assigned

Jul 25, 2006

Last updated

Sep 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIGABA

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.

• Carolina Family Care, Inc

  dba MUSC Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1184655722
  Medicare reassignment NPD
• Carolina Family Care, Inc

  dba MUSC Physicians PC

  • Internal Medicine Physician
  • Lancaster, SC
  • NPI 1275564098
  NPD
• Advanced Cardiology Consultants

  • Cardiovascular Disease Physician
  • Florence, SC
  • NPI 1669492427
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1073536744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 E HIGHWAY 76 STE 5",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746038",
            "telephone_number": "843-431-2171",
            "fax_number": "843-431-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 E HIGHWAY 76 STE 5",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746038",
            "telephone_number": "843-431-2171",
            "fax_number": "843-431-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDONIS",
        "first_name": "JAMES",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "20887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0965",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D & Z Community Center Inc (Project Hope Global)
• Corrie Maria Davis, RD, LD, CNSC
• Parmanand Dawani, M.D.
• Robert Louis De Grood, MD
• Jeromy Deakins, MAATERS
• Dhec
• Bryan Dickison
• Okechukwu Dimkpa, MD
• Eagle Nursing LLC
• Mitchell E Falk, D.C.

• Cardiovascular Disease Physician in Mullins, SC
• Providers in Mullins, SC by specialty
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.

Verify at the official NPI Registry.