NPIMap

Individual provider Active NPI

James R Carroll, MD

  • Family Medicine Physician
  • Mullins, SC
National Provider Identifier
1609816735
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10340 Issued in SC
Practice address
2845 E Highway 76
Suite 2
Mullins, SC 29574-6037
Phone
(843) 431-2730
Fax
(843) 431-2735
NPI assigned
Jun 7, 2006
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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 10340 SC Primary

Addresses

Primary practice location

2845 E Highway 76
Suite 2
Mullins, SC 29574-6037

Mailing address

2845 E Highway 76
Suite 2
Mullins, SC 29574-6037
Phone (843) 431-2730

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
I20050830000636 SC Practitioner - Family Practice 8820029754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2845 E Hwy 76
Suite 2
Mullins, SC 29574-6037
Phone (843) 431-2730

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10340SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
James R Carroll MD PA CurrentSince Sep 6, 2005 Accepting new patients
Upstate Homecare MD, LLC Past Accepting new patients
Palmetto Spine & Pain Care Consultants, LLC Past Accepting new patients

Locations

2845 E Highway 76
Ste 2
Mullins, SC 29574
Phone (843) 431-2730

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGDIBD/Endpoint/DGDIBD

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.

Hospital & facility affiliations 9

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1609816735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 E HIGHWAY 76",
            "address_2": "SUITE 2",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746037",
            "telephone_number": "843-431-2730",
            "fax_number": "843-431-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 E HIGHWAY 76",
            "address_2": "SUITE 2",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746037",
            "telephone_number": "843-431-2730",
            "fax_number": "843-431-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "10340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

Verify at the official NPI Registry.