James Ball, M.D.

Individual provider Active NPI Specialist · Charleston, SC

NPI 1235199092 · NPPES record last updated Apr 9, 2015

Key facts

NPI
1235199092
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
13794 (SC)
Practice address
12-A Farmfield Ave
Charleston, SC 29407-7755
Phone
(843) 573-2255
Fax
(843) 573-2291
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13794SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Pulmonary, LLP Past
since Jan 1, 1996
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13794 SC Yes

Addresses

Primary practice location

12-A Farmfield Ave
Charleston, SC 29407-7755

Mailing address

12-A Farmfield Ave
Charleston, SC 29407-7755
Phone (843) 573-2255

Other identifiers

IdentifierTypeStateIssuer
137943MedicaidSC

Other providers in Charleston, SC

All providers in Charleston, SC · Specialist in South Carolina

Sources for this page

Verify at the official NPI Registry.