NPIMap

Individual provider Active NPI

James R Cain III, MD

  • Nephrology Physician
  • Sumter, SC
National Provider Identifier
1174615868
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
08460 Issued in SC
Practice address
635 W Wesmark Blvd
Sumter, SC 29150-1900
Phone
(803) 469-7500
Fax
(803) 469-7519
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 08460 SC Primary

Addresses

Primary practice location

635 W Wesmark Blvd
Sumter, SC 29150-1900

Mailing address

635 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 469-7500

Other identifiers 1

IdentifierTypeStateIssuer
08460-6MedicaidSC

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
I20110510000442 SC Practitioner - Nephrology 5092991976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Medical University of South Carolina College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

625 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 469-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.22 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.41

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08460SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Diabetes & Kidney Center, LLC Nephrology Current Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Sumter Medical Specialists PA Nephrology CurrentSince Jul 1, 1990 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Musc Community Physicians Current Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

625 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-7950

635 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-7500

Interoperability endpoints

  • Direct secure messaging: jcain482272@direct.musc.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEAHAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCAHAD

Organizations & group practices 6

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.

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1174615868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501900",
            "telephone_number": "803-469-7500",
            "fax_number": "803-469-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501900",
            "telephone_number": "803-469-7500",
            "fax_number": "803-469-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "08460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08460-6",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.