Active NPI
Jimmy V. Lemke, M.D.
- Internal Medicine Physician
- Evans, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 32421
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G32421 | Medicaid | SC | |
| 110102923 | Other | RAILROAD MEDICARE | |
| 11D0687551 | Other | CLIA # FOR GROUP | |
| 00453032D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32421 | GA | MD | Internal Medicine Physician |
| 016438 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care | Internal Medicine | Current | Accepting new patients |
| University Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| University Endocrine & Internal Medicine Inc | Current | Accepting new patients | |
| Umg Primary Care South Carolina, LLC | Current | Accepting new patients | |
| University Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Internal Medicine & Endocrine Associates of Augusta,P.C. | Internal Medicine | Past | 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.
-
- Family Medicine Physician
- Aiken, SC
- NPI 1851747190
-
- Endocrinology, Diabetes & Metabolism Physician
- Augusta, GA
- NPI 1679716765
-
- Internal Medicine Physician
- Augusta, GA
- NPI 1336413954
-
- Internal Medicine Physician
- Augusta, GA
- NPI 1871885806
-
- Internal Medicine Physician
- Augusta, GA
- NPI 1124231808
-
- Endocrinology, Diabetes & Metabolism Physician
- Augusta, GA
- NPI 1215153614
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.