Individual provider Active NPI

Jimmy V. Lemke, M.D.

  • Internal Medicine Physician
  • Evans, GA
National Provider Identifier
1669527156
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32421 Issued in GA
Practice address
447 N Belair Rd Ste 104
Evans, GA 30809
Phone
(706) 854-2180
Fax
(706) 854-2189
NPI assigned
Jan 24, 2007
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 016438 SC
Internal Medicine Physician 207R00000X 32421 GA Primary

Addresses

Primary practice location

447 N Belair Rd Ste 104
Evans, GA 30809

Mailing address

PO Box 1705
Suite 4C
Augusta, GA 30903-1705
Phone (706) 774-7263

Other practice location 1

820 Saint Sebastian Way
Suite 4C
Augusta, GA 30901-2643
Phone (706) 774-5995

Other practice location 2

325 Georgia Ave Ste 200
North Augusta, SC 29841-3848
Phone (706) 774-7263

Other practice location 3

3515 Richland Ave
Aiken, SC 29801-6311
Phone (803) 642-2626

Other practice location 4

4720 Washington Rd
Evans, GA 30809-5875
Phone (706) 650-0111

Other identifiers 4

IdentifierTypeStateIssuer
G32421MedicaidSC
110102923OtherRAILROAD MEDICARE
11D0687551OtherCLIA # FOR GROUP
00453032DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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

Enrollment IDStateProvider typePAC IDDetails
I20090708000579 GA Practitioner - Internal Medicine 1850443656
I20090910000116 SC Practitioner - Internal Medicine 1850443656 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32421GAMDInternal Medicine Physician
016438SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Internal Medicine Current Accepting new patients
University Medical Group LLC Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients
University Endocrine & Internal Medicine Inc Current Accepting new patients
Umg Primary Care South Carolina, LLC CurrentSince May 17, 2017 Accepting new patients
University Medical Group LLC Internal Medicine Current Accepting new patients
Internal Medicine & Endocrine Associates of Augusta,P.C. Internal Medicine PastSince Oct 1, 1999 Accepting new patients

Locations

820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997

820 Saint Sebastian Way
Ste 7A
Augusta, GA 30901
Phone (706) 722-0463

4321 University Pkwy
Ste 101
Evans, GA 30809
Phone (706) 774-7400

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

447 N Belair Rd
Ste 104
Evans, GA 30809
Phone (706) 854-2180

4720 Washington Rd
Evans, GA 30809
Phone (706) 650-0111

1023 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 502-5515

325 Georgia Ave
Ste 100
North Augusta, SC 29841
Phone (803) 202-3351

325 Georgia Ave
Ste 200
North Augusta, SC 29841
Phone (803) 202-3351

350 Austin Graybill Rd
North Augusta, SC 29860
Phone (706) 736-5244

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1669527156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "address_2": "SUITE 4C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N BELAIR RD STE 104",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-854-2180",
            "fax_number": "706-854-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Saint Sebastian Way",
            "address_2": "Suite 4C",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012643",
            "country_code": "US",
            "telephone_number": "706-774-5995",
            "fax_number": "706-774-5996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Georgia Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298413848",
            "country_code": "US",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Richland Ave",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016311",
            "country_code": "US",
            "telephone_number": "803-642-2626",
            "fax_number": "803-642-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095875",
            "country_code": "US",
            "telephone_number": "706-650-0111",
            "fax_number": "706-651-1882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "JIMMY",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "016438",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "32421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G32421",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110102923",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA # FOR GROUP",
            "identifier": "11D0687551",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00453032D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.