Active NPI
James Daniel Dillon Jr., MD
- Neurological Surgery Physician
- Aiken, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 32617
- Practice address
- 410 University Pkwy Ste 1520
Aiken, SC 29801-6840 - Phone
- (803) 502-8400
- Fax
- (803) 641-7015
- NPI assigned
- Sep 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 632617 | SC | |
| Neurological Surgery Physician | 207T00000X | 32617 | SC | Primary |
Addresses
Primary practice location
410 University Pkwy Ste 1520
Aiken, SC 29801-6840
Mailing address
367 S Gulph Rd
Attn Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (803) 502-9400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10372771 | Medicaid | VA | |
| 326178 | Medicaid | SC |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 632617 | SC | MD | Specialist |
| 32617 | SC | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aiken Regional Medical Centers LLC | Current | Accepting new patients |
Locations
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
137 Miracle Dr
Aiken, SC 29801
Phone (803) 226-0589
100 Aurora Pl
Ste 300
Aiken, SC 29801
Phone (803) 226-0130
410 University Pkwy
Ste 1520
Aiken, SC 29801
Phone (803) 502-8400
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.
-
- Other Specialist/Technologist
- Aiken, SC
- NPI 1316955875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1285736702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 S GULPH RD",
"address_2": "ATTN IPM CREDENTIALING",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063121",
"telephone_number": "803-502-9400",
"fax_number": "803-641-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 UNIVERSITY PKWY STE 1520",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016840",
"telephone_number": "803-502-8400",
"fax_number": "803-641-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "JAMES",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-04",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "632617",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "SC",
"license": "32617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10372771",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "326178",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.