James M Desantis, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

P1452 Issued in TX

Practice address

400 Westpark CT
Ste 230
Peachtree City, GA 30269-3571

Phone

(770) 631-8478

Fax

(770) 631-8473

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA, TX2 enrollments

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 2

Specialty

Emergency Medicine

Education

University of Florida College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moore County Hospital DistrictGroup PAC ID 1254226269, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Dumas, TX, CCN 451386
• Pampa Regional Medical Center Hospital, Pampa, TX, CCN 451398
• Memorial Hospital Nursing home, CCN 45Z386

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Moore County Hospital District

  • Critical Access Hospital
  • Dumas, TX
  • NPI 1700991700
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Apollomd Group Services, LLC

  • Anesthesiology Physician
  • Griffin, GA
  • NPI 1568616860

  Emergency Medicine

  NPD (past)
• Augusta Physicians Group, LLC

  • Emergency Medicine Physician
  • Augusta, GA
  • NPI 1518169168
  NPD (past)
• Endocrine Specialists of Georgia, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Cartersville, GA
  • NPI 1902407307
  NPD (past)
• Evans Emergency Group LLC

  • Emergency Medicine Physician
  • Claxton, GA
  • NPI 1295794220
  NPD (past)
• Lagrange Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Lagrange, GA
  • NPI 1760437560
  NPD (past)
• Liberty Emergency Group LLC

  • Emergency Medicine Physician
  • Hinesville, GA
  • NPI 1073581682
  NPD (past)
• Montgomery Emergency Group, LLC

  • Emergency Medicine Physician
  • Vidalia, GA
  • NPI 1861773764
  NPD (past)
• Wills Memorial Emergency Medical Services, LLC

  • Emergency Medicine Physician
  • Washington, GA
  • NPI 1275066326
  NPD (past)
• Carolina Coast Emergency Physicians LLC

  • Emergency Medicine Physician
  • Clinton, NC
  • NPI 1972610988
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Moore County Hospital District

  • Critical Access Hospital
  • Dumas, TX
  • NPI 1700991700
  Care Compare affiliation
• Prime Healthcare Services Pampa LLC

  • Critical Access Hospital
  • Pampa, TX
  • NPI 1700509577
  Care Compare affiliation

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1659326650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10247 HIGHWAY 92",
            "address_2": "APT 402",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883914",
            "telephone_number": "678-361-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTPARK CT",
            "address_2": "STE 230",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693571",
            "telephone_number": "770-631-8478",
            "fax_number": "770-631-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "25650",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD027124E",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P1452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4295661",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10577706",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912277",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051542232",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katarina Michelle Day
• Lisa Marie Deboer, OTR/L
• Paige Dee, LPC
• Jacqueline Delash, DMD, MBA, MPH
• Dentistry for Children of Peachtree City, LLC
• Kathryn Duke Desgain, RPH
• Develop-Mental Support Services
• Nikita Dewitt, LPC
• Ashley Marie Diamond
• Melina Paola Diaz-Cardenas, M.D.

• Emergency Medicine Physician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.