Individual provider Active NPI

Jeremy R James, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Covington, LA
National Provider Identifier
1083881247
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
203757 Issued in LA
Practice address
76 Starbrush Cir
Covington, LA 70433-7208
Phone
(985) 400-5778
Fax
(985) 888-1042
NPI assigned
May 15, 2008
Last updated
Feb 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 203757 LA Primary

Addresses

Primary practice location

76 Starbrush Cir
Covington, LA 70433-7208

Mailing address

76 Starbrush Cir
Covington, LA 70433-7208
Phone (985) 400-5778

Other identifiers 1

IdentifierTypeStateIssuer
05868MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20140625002008 LA Practitioner - Orthopedic Surgery 2769624717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic and Interventional Spinal Care of LouisianaGroup PAC ID 0244460293, 10 clinicians

Practice addresses (Care Compare)

19184 Dr John Lambert Dr
Suite 103
Hammond, LA 70403-0936
Phone (985) 892-8934

76 Starbrush Cir
Covington, LA 70433-7208
Phone (985) 400-5778

76 Starbrush Circle
Covington, LA 70433-7208

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion477
Laminectomy or laminotomy (partial removal of spine bones)179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203757LAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic and Interventional Spinal Care of Louisiana Orthopaedic Surgery CurrentSince Jul 1, 2014 Accepting new patients
Fairway Medical Center, LLC Past Accepting new patients

Locations

76 Starbrush Cir
Covington, LA 70433
Phone (985) 400-5778

15828 Professional Plz
Hammond, LA 70403
Phone (985) 674-1700

19184 Dr John Lambert Dr
Hammond, LA 70403
Phone (985) 542-7766

Interoperability endpoints

  • Direct secure messaging: jjames@disc-of-louisiana.direct.kno2fy.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1083881247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337208",
            "telephone_number": "985-400-5778",
            "fax_number": "985-888-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337208",
            "telephone_number": "985-400-5778",
            "fax_number": "985-888-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "JEREMY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "LA",
            "license": "203757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05868",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.