NPIMap

Individual provider Active NPI

Kim James

  • Acute Care Nurse Practitioner
  • Florence, SC
National Provider Identifier
1295256337
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
21086 Issued in SC
Practice address
1523 Heritage LN Unit B
Florence, SC 29505-3197
Phone
(843) 673-0900
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 213206 SC
Licensed Practical Nurse 164W00000X P39373 SC
Acute Care Nurse Practitioner 363LA2100X 21086 SC Primary

Addresses

Primary practice location

1523 Heritage LN Unit B
Florence, SC 29505-3197

Mailing address

1523 Heritage LN
Unit B
Florence, SC 29505-3197
Phone (843) 673-0900

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
I20180312002177 SC Practitioner - Nurse Practitioner 6103183033 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Health ClarendonGroup PAC ID 0840582656, 60 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

10 E Hospital St
Manning, SC 29102-3153
Phone (803) 435-8463

2829 E Hwy 76
Mullins, SC 29574-6035
Phone (803) 431-2000

Hospital & facility affiliations

  • CCN 420117 Hospital, CCN 420117
  • McLeod Health Clarendon Hospital, Manning, SC, CCN 420109
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • Musc Health Marion Medical Center Hospital, Mullins, SC, CCN 420055
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
213206SCMDRegistered Nurse
P39373SCMDLicensed Practical Nurse
21086SCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Feb 11, 2019 Accepting new patients
Musc Community Physicians Current Accepting new patients
SC House Calls Inc CurrentSince Feb 11, 2019 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
McLeod Health Clarendon CurrentSince Nov 25, 2019 Accepting new patients
Carolina Family Care, Inc CurrentSince Oct 15, 2020 Accepting new patients
McLeod Health Clarendon CurrentSince Nov 25, 2019 Accepting new patients
Carolina Family Care, Inc CurrentSince Oct 15, 2020 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
McLeod Health Clarendon Current Accepting new patients
App of South Carolina Ed PLLC CurrentSince May 26, 2020 Accepting new patients

Locations

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

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: kjames25201@directmcleodehealth.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1295256337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 HERITAGE LN",
            "address_2": "UNIT B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053197",
            "telephone_number": "843-673-0900",
            "fax_number": "843-665-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 HERITAGE LN UNIT B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053197",
            "telephone_number": "843-673-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "213206",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "P39373",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "21086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.