James L Hagan Sr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

12240 Issued in SC

Practice address

302 University Pkwy
Wound Healing Institute at Aiken Regional Medical Cente
Aiken, SC 29801-6302

Phone

(803) 643-2090

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healogics Specialty Physicians of South Carolina, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Myrtle Beach, SC
  • NPI 1033531850

  Surgery

  Medicare reassignment NPD
• Healogics Specialty Physicians of South Carolina, LLC

  dba Upstate Wound Care by Healogics

  • Clinic/Center
  • Spartanburg, SC
  • NPI 1023677945
  NPD
• Aiken Professional Association, LLC

  • Internal Medicine Physician
  • Aiken, SC
  • NPI 1639479801

  Surgery

  NPD (past)
• James Lowell Hagan,Sr, M.D., LLC.

  • Surgery Physician
  • Aiken, SC
  • NPI 1902000227
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1609826403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848886",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848886",
            "telephone_number": "904-446-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 UNIVERSITY PKWY",
            "address_2": "WOUND HEALING INSTITUTE AT AIKEN REGIONAL MEDICAL CENTE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016302",
            "telephone_number": "803-643-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "SC",
            "license": "12240",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "12240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122405",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shreya Gupta, MD
• Brittany Shalaigh Gustavson, APRN, FNP-C
• Angelique C Gutierrez
• Muhammad Habib Ur Rehman, M.D.
• Kristin Braveboy Haddock, APRN
• Cedrick Hair, PHARMD
• Mary L Halbritter, PA-C
• Alice Drannon Hale, DMD
• Dallas Hall, CCC-SLP
• Heather A. Hall

• Surgery Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.