Active NPI
James R. Lee Jr., BSN
- Community Health Registered Nurse
- Manning, SC
National Provider Identifier
1164848156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 60097
- Practice address
- 110 E Boyce St
Manning, SC 29102-3408 - Phone
- (803) 435-4355
- Fax
- (803) 435-2065
- NPI assigned
- Mar 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 60097 | SC | Primary |
Addresses
Primary practice location
110 E Boyce St
Manning, SC 29102-3408
Mailing address
1929 Diles Bay Rd
Turbeville, SC 29162-8892
Phone (803) 435-4355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60097 | SC | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of South Carolina Comptroller General | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Florence, SC
- NPI 1336994250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394755200000",
"number": "1164848156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1929 DILES BAY RD",
"city": "TURBEVILLE",
"state": "SC",
"postal_code": "291628892",
"telephone_number": "803-435-4355",
"fax_number": "803-435-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E BOYCE ST",
"city": "MANNING",
"state": "SC",
"postal_code": "291023408",
"telephone_number": "803-435-4355",
"fax_number": "803-435-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAMES",
"middle_name": "R.",
"name_suffix": "Jr.",
"credential": "BSN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-14",
"last_updated": "2014-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "60097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manning, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.