Individual provider Active NPI

John William Bingham, M.D.

  • Family Medicine Physician
  • Florence, SC
National Provider Identifier
1457665994
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32776 Issued in SC
Practice address
360 N Irby St
Florence, SC 29501-2808
Phone
(843) 667-9414
Fax
(843) 667-1362
NPI assigned
Jul 26, 2010
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32776 SC Primary

Addresses

Primary practice location

360 N Irby St
Florence, SC 29501-2808

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Other practice location 1

3016 Longtown Commons Dr Ste 100
Columbia, SC 29229-7862
Phone (803) 314-0500

Other identifiers 1

IdentifierTypeStateIssuer
327765MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbingham149749@direct.lexmed.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110629000333 SC Practitioner - Family Practice 9537347166 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

557 Columbia Ave
Chapin, SC 29036-8324
Phone (803) 932-0655

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32776SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc Family Medicine CurrentSince Dec 17, 2012 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Family Medicine CurrentSince Sep 19, 2017 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Current Accepting new patients
Lexington Health Inc CurrentSince Dec 6, 2021 Accepting new patients
Lexington Health Inc Family Medicine Current Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Mar 14, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Dec 17, 2012 Accepting new patients
Lexington Health Inc CurrentSince Dec 6, 2021 Accepting new patients
Lexington Health Inc Past Accepting new patients

Locations

557 Columbia Ave
Chapin, SC 29036
Phone (803) 932-0655

3016 Longtown Commons Dr
Ste 100
Columbia, SC 29229
Phone (803) 314-0500

144 N Ravenel St
Florence, SC 29506
Phone (843) 777-2566

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

154 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 785-3580

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

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

Interoperability endpoints

  • Direct secure messaging: jbingham25397@directmcleodehealth.org

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 1

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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1457665994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3016 Longtown Commons Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292297862",
            "country_code": "US",
            "telephone_number": "803-314-0500",
            "fax_number": "803-314-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "32776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327765",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbingham149749@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "3016 Longtown Commons Dr Ste 100",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292297862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.