NPIMap

Individual provider Active NPI

John Wesley Culpepper Jr., MD

  • Plastic Surgery Physician
  • Greenwood, SC
National Provider Identifier
1457340465
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25237 Issued in SC
Practice address
305 W Alexander Ave Ste a
Greenwood, SC 29646-4009
Phone
(864) 223-0505
Fax
(864) 223-7075
NPI assigned
Oct 21, 2005
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25237 SC Primary

Addresses

Primary practice location

305 W Alexander Ave Ste a
Greenwood, SC 29646-4009

Mailing address

305 W Alexander Ave Ste a
Greenwood, SC 29646-4009
Phone (864) 223-0505

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
I20140415001194 SC Practitioner - Plastic and Reconstructive Surgery 1557382165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Practice addresses (Care Compare)

305 W Alexander Ave
A
Greenwood, SC 29646-4009
Phone (864) 725-4111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision15
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince Apr 1, 2023 Accepting new patients
Greenville Health System CurrentSince Feb 10, 2014 Accepting new patients
Greenville Health System Current Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Self Medical Group CurrentSince Apr 1, 2023 Accepting new patients
GHS Partners in Health, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients
Integrated Health Care Providers Past Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

305 W Alexander Ave
#A
Greenwood, SC 29646
Phone (864) 223-0505

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

10110 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0500

109 Omni Dr
#B
Seneca, SC 29672
Phone (864) 882-6141

Interoperability endpoints

  • Direct secure messaging: jculpepper5723@selfregional.direct-ci.net

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1457340465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W ALEXANDER AVE STE A",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464009",
            "telephone_number": "864-223-0505",
            "fax_number": "864-223-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W ALEXANDER AVE STE A",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464009",
            "telephone_number": "864-223-0505",
            "fax_number": "864-223-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "25237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.