Active NPI
James Russell Macswords III, PA-C
- Physician Assistant
- Georgetown, KY
National Provider Identifier
1194778712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA040
- Practice address
- 111 Osbourne Way
Ste 101
Georgetown, KY 40324-8004 - Phone
- (859) 570-0007
- Fax
- (859) 570-0500
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA040 | KY | Primary |
Addresses
Primary practice location
111 Osbourne Way
Ste 101
Georgetown, KY 40324-8004
Mailing address
111 Osbourne Way
Ste 101
Georgetown, KY 40324-8004
Phone (859) 570-0007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95000402 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA040 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lexington Urgent Treatment Associates, PSC | Past | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Past | Accepting new patients | |
| Marshall Emergency Services Associates, PLLC | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 9
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.
-
- Nurse Practitioner
- Berea, KY
- NPI 1912054792
-
- Urgent Care Clinic/Center
- Georgetown, KY
- NPI 1780838847
-
- Urgent Care Clinic/Center
- Lexington, KY
- NPI 1225374887
-
- Emergency Medicine Physician
- Middlesboro, KY
- NPI 1972715878
-
- Emergency Medicine Physician
- Hazard, KY
- NPI 1538109962
-
- Emergency Medicine Physician
- South Williamson, KY
- NPI 1740492644
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1891737185
Physician Assistant
-
- Family Medicine Physician
- Lexington, KY
- NPI 1174607741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1194778712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 OSBOURNE WAY",
"address_2": "STE 101",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403248004",
"telephone_number": "859-570-0007",
"fax_number": "859-570-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 OSBOURNE WAY",
"address_2": "STE 101",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403248004",
"telephone_number": "859-570-0007",
"fax_number": "859-570-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACSWORDS",
"first_name": "JAMES",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95000402",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.