Jimmy Ray Baucum, MD
Individual provider Active NPI Cardiovascular Disease Physician · Greenville, SC
NPI 1144206996 · NPPES record last updated Feb 24, 2020
Key facts
- NPI
- 1144206996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 14065 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 48
Medicare Care Compare profile
- 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
- Prisma Health University Medical Group
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
- Prisma Health Oconee Memorial Hospital
- Prisma Health Greenville Memorial Hospital
- St Francis-Downtown
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071113000253 | SC | Practitioner - Cardiovascular Disease (Cardiology) | 0143318980 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Current |
Accepting new patients | |
| Anmed Health | Current |
Accepting new patients | |
| Greenville Health System | Current |
Accepting new patients | |
| St Francis Hospital Inc | Current |
Accepting new patients | |
| St. Francis Hospital, Inc. | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| St Francis Hospital Inc | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Carolina Cardiology Consultants, P.a. | Past | Accepting new patients |
Locations
800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
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
200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604
877 W Faris Rd
Ste C
Greenville, SC 29605
Phone (864) 455-8147
1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000
300 E McBee Ave
Greenville, SC 29601
Phone (803) 434-1335
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600
125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800
877 W Faris Rd
Ste B
Greenville, SC 29605
Phone (864) 522-6225
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
- jbaucum5525@direct.ghs.myhfn.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 14065 | SC | Yes |
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
Other providers in Greenville, SC
- Rebecca E Batson
- Ryan Batson
- W. Arnold Batson Jr.
- Ericka Jeanette Battle
- Latasha Battle
- Christina Bauer
- Kari Bauermeister
- Kinsey Baughman
- Nicholas A Baughman
- Randall Baughman
All providers in Greenville, SC · Cardiovascular Disease Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.