Individual provider Active NPI

Mark E James, M.D.

  • Psychiatry Physician
  • Lawrenceville, GA
National Provider Identifier
1609870179
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
027577 Issued in GA
Practice address
290 Constitution Blvd
Ste a
Lawrenceville, GA 30046-5696
Phone
(770) 962-8552
Fax
(770) 962-7956
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 027577 GA Primary

Addresses

Primary practice location

290 Constitution Blvd
Ste a
Lawrenceville, GA 30046-5696

Mailing address

290 Constitution Blvd
Ste a
Lawrenceville, GA 30046-5696
Phone (770) 962-8552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20120105000658 GA Practitioner - Psychiatry 2769658194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nebraska College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 Langley Dr
Suite E2
Lawrenceville, GA 30046-6952
Phone (770) 962-8552

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027577GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark E. James, M.D., Inc. Psychiatry CurrentSince Jul 30, 2001 Accepting new patients

Locations

175 Langley Dr
Ste E2
Lawrenceville, GA 30046
Phone (770) 962-8552

290 Constitution Blvd
Ste A
Lawrenceville, GA 30046
Phone (770) 962-8552

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1609870179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CONSTITUTION BLVD",
            "address_2": "STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465696",
            "telephone_number": "770-962-8552",
            "fax_number": "770-962-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CONSTITUTION BLVD",
            "address_2": "STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465696",
            "telephone_number": "770-962-8552",
            "fax_number": "770-962-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "027577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.