Individual provider Active NPI

James D Woodcock, NP

  • Nurse Practitioner
  • Murrells Inlet, SC
National Provider Identifier
1285650085
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
93704 Issued in SC
Practice address
12015 Highway 707
Murrells Inlet, SC 29576-9737
Phone
(843) 492-9021
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 93704 SC Primary
Family Nurse Practitioner 363LF0000X 1977 SC

Addresses

Primary practice location

12015 Highway 707
Murrells Inlet, SC 29576-9737

Mailing address

4416 Forest Dr
2ND Floor
Columbia, SC 29206-3104
Phone (803) 782-4278

Other practice location 1

1600 Highway 17 N
Surfside Beach, SC 29575-6015
Phone (843) 238-1461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000520 SC Practitioner - Nurse Practitioner 2860380029 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1977SCMDOrthopedic Chiropractor
93704SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Oct 9, 2019 Accepting new patients
Novant Health Urgent Cares LLC CurrentSince Nov 1, 2024 Accepting new patients
Inlet Physical Medicine LLC Past Accepting new patients
Progressive Phyiscal Therapy, PA Past Accepting new patients
Progressive Physical Therapy, P.a. PastSince Sep 4, 2023 Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

4500 Forest Dr
Fl 2
Columbia, SC 29206
Phone (803) 787-3143

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

12015 Highway 707
Murrells Inlet, SC 29576
Phone (843) 492-9021

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

2761 Agnes Ln
Myrtle Beach, SC 29577
Phone (843) 492-2710

8091 Rivers Ave
North Charleston, SC 29406
Phone (843) 572-7000

1600 Highway 17 N
Surfside Beach, SC 29575
Phone (843) 238-1461

Interoperability endpoints

  • Direct secure messaging: james.woodcock.1@14940.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1285650085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 FOREST DR",
            "address_2": "2ND FLOOR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063104",
            "telephone_number": "803-782-4278",
            "fax_number": "803-782-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 HIGHWAY 707",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769737",
            "telephone_number": "843-492-9021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Highway 17 N",
            "address_purpose": "LOCATION",
            "city": "Surfside Beach",
            "state": "SC",
            "postal_code": "295756015",
            "country_code": "US",
            "telephone_number": "843-238-1461",
            "fax_number": "843-828-0622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODCOCK",
        "first_name": "JAMES",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "93704",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "1977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.