NPIMap

Individual provider Active NPI

Jimmy Ray Baucum, MD

  • Cardiovascular Disease Physician
  • Greenville, SC
National Provider Identifier
1144206996
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
14065 Issued in SC
Practice address
877 W Faris Rd
Ste B
Greenville, SC 29605-5608
Phone
(864) 455-6900
Fax
(864) 255-5619
NPI assigned
Dec 22, 2005
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 14065 SC Primary

Addresses

Primary practice location

877 W Faris Rd
Ste B
Greenville, SC 29605-5608

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071113000253 SC Practitioner - Cardiovascular Disease (Cardiology) 0143318980 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Medical University of South Carolina College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123

298 Memorial Dr
Seneca, SC 29672-9443
Phone (864) 455-2455

3 Butternut Dr
Suite B4
Greenville, SC 29605-4655
Phone (864) 455-6900

300 E McBee Ave
Greenville, SC 29601-2842
Phone (864) 797-6220

300 E McBee Ave FL
Suite 4
Greenville, SC 29601-2842

701 Grove Rd
Greenville, SC 29605-4210

772 N Townville St
Seneca, SC 29678-2645
Phone (864) 522-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14065SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jun 21, 2010 Accepting new patients
Greenville Health System CurrentSince Jul 1, 2008 Accepting new patients
Anmed Health CurrentSince Aug 1, 1993 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 21, 2010 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
St Francis Hospital Inc CurrentSince Jan 24, 2012 Accepting new patients
St. Francis Hospital, Inc. Current Accepting new patients
Greenville Health System Current Accepting new patients
St Francis Hospital Inc CurrentSince Jan 24, 2012 Accepting new patients
Anmed Health CurrentSince Aug 1, 1993 Accepting new patients
Carolina Cardiology Consultants, P.a. Past Accepting new patients

Locations

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

300 E McBee Ave
Greenville, SC 29601
Phone (803) 434-1335

877 W Faris Rd
Ste B
Greenville, SC 29605
Phone (864) 522-6225

877 W Faris Rd
Ste C
Greenville, SC 29605
Phone (864) 455-8147

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

772 N Townville St
Seneca, SC 29678
Phone (864) 886-9300

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: jbaucum5525@direct.ghs.myhfn.org

Organizations & group practices 11

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 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1144206996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 W FARIS RD",
            "address_2": "STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055608",
            "telephone_number": "864-455-6900",
            "fax_number": "864-255-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUCUM",
        "first_name": "JIMMY",
        "middle_name": "RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "14065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.