Active NPI
James Brent Box, M.D.
- Internal Medicine Physician
- Calhoun, GA
National Provider Identifier
1619902319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 031566
- Practice address
- 1035 Red Bud Rd NE
Calhoun, GA 30701-6010 - Phone
- (706) 879-4776
- Fax
- (706) 879-4781
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 031566 | GA | Primary |
Addresses
Primary practice location
1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Mailing address
PO Box 12938
C/O Clinic Management
Calhoun, GA 30703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000645587C | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090623000451 | GA | Practitioner - Internal Medicine | 1759278302 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System Georgia Inc | Current | Accepting new patients |
Locations
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
400 Timms Rd NE
Calhoun, GA 30701
Phone (706) 625-0022
Interoperability endpoints
- jbox265612@adventhealth.direct-ci.com
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": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544659200000",
"number": "1619902319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12938",
"address_2": "C/O CLINIC MANAGEMENT",
"city": "CALHOUN",
"state": "GA",
"postal_code": "30703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 RED BUD RD NE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307016010",
"telephone_number": "706-879-4776",
"fax_number": "706-879-4781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOX",
"first_name": "JAMES",
"middle_name": "BRENT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2018-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "031566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000645587C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.