Active NPI
Colton Allen Jamieson, MD
- Emergency Medicine Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 82758
- Practice address
- 905 Verdae Blvd Ste 101
Greenville, SC 29607-4098 - Phone
- (864) 286-7550
- Fax
- (864) 286-7551
- NPI assigned
- Jun 17, 2019
- Last updated
- Jan 10, 2022
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | LL82758 | SC | |
| Emergency Medicine Physician | 207P00000X | 82758 | SC | Primary |
Addresses
Primary practice location
905 Verdae Blvd Ste 101
Greenville, SC 29607-4098
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 225-8603
Other practice location 1
701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 455-5198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 827582 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of South Carolina School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82758 | SC | MD | Emergency Medicine Physician |
| LL82758 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
Locations
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
11402 Anderson Rd
Ste A
Greenville, SC 29611
Phone (864) 631-2799
300 E McBee Ave
Greenville, SC 29601
Phone (803) 434-1335
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
905 Verdae Blvd
Ste 101
Greenville, SC 29607
Phone (864) 286-7550
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Healthcare Colleton Hospital
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1386204816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-225-8603",
"fax_number": "864-455-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 VERDAE BLVD STE 101",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074098",
"telephone_number": "864-286-7550",
"fax_number": "864-286-7551"
}
],
"practiceLocations": [
{
"address_1": "701 Grove Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054210",
"country_code": "US",
"telephone_number": "864-455-5198",
"fax_number": "864-455-5474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMIESON",
"first_name": "COLTON",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "LL82758",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "82758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "827582",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.