Individual provider Active NPI

James Collis Oliver, MD

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1124116017
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12589 Issued in SC
Practice address
9 Country Club Dr
Greenville, SC 29605-1114
Phone
(864) 235-1115
NPI assigned
Oct 10, 2006
Last updated
May 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12589 SC Primary

Addresses

Primary practice location

9 Country Club Dr
Greenville, SC 29605-1114

Mailing address

9 Country Club Dr
Greenville, SC 29605-1114
Phone (864) 235-1115

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000241 SC Practitioner - Family Practice 7810887858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12589SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Ambulatory Services - St. Francis, LLC CurrentSince May 20, 2024 Accepting new patients
Woodruff Road Urgent Care Center, P.C. Current Accepting new patients
Piedmont Physician Network LLC Family Medicine Past Accepting new patients
St Francis Physician Services Inc Family Medicine Past Accepting new patients

Locations

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1124116017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COUNTRY CLUB DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051114",
            "telephone_number": "864-235-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COUNTRY CLUB DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051114",
            "telephone_number": "864-235-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JAMES",
        "middle_name": "COLLIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "12589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.