James R Carroll, MD
Individual provider Active NPI Family Medicine Physician · Mullins, SC
NPI 1609816735 · NPPES record last updated Nov 22, 2016
Key facts
- NPI
- 1609816735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 10340 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- 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
- Amedisys Home Health of Conway
- Centerwell Home Health-Pee Dee
- Centerwell Home Health
- Patriot Hospice
- Musc Health Marion Medical Center
- McLeod Loris Hospital
- McLeod Regional Medical Center-Pee Dee
- McLeod Medical Center - Dillon
- Grand Strand Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.91 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 83.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050830000636 | SC | Practitioner - Family Practice | 8820029754 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10340 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James R Carroll MD PA | Current |
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
- https://fhir4.healow.com/fhir/r4/DGDIBD/Endpoint/DGDIBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10340 | SC | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103408 | Medicaid | SC |
Other providers in Mullins, SC
- Campbell Family Practice
- Campbell Family Practice, P.a.
- Campbell Medical Supply
- Treadwell Campbell
- Carolina Wren Sleep Service LLC
- Mark Carroll
- John Kenneth Carter Sr.
- Coretta Casley
- Ailene G Caulder
- April Caulder
All providers in Mullins, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.