Active NPI
James P Vert, PA
- Physician Assistant
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- SC1166
- Practice address
- 1131 Saluda St.
Rock Hill, SC 29731-6028 - Phone
- (803) 325-7744
- Fax
- (803) 325-1789
- NPI assigned
- Nov 1, 2006
- Last updated
- Feb 17, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | SC1166 | SC | Primary |
| Surgical Physician Assistant | 363AS0400X | 1166 | SC |
Addresses
Primary practice location
1131 Saluda St.
Rock Hill, SC 29731-6028
Mailing address
PO Box 28
1131 Saluda St.
Rock Hill, SC 29731-6028
Phone (803) 325-7744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0785PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 97.83
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1166 | SC | MD | Optician |
| SC1166 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Hodges Family Practice, Inc | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Marion SC Emergency Physicians | Past | Accepting new patients | |
| Southern Living Emergency Physicians LLC | Physician Assistant | Past | Accepting new patients |
| Marion Physician Services LLC | Physician Assistant | Past | Accepting new patients |
| Pee Dee Emergency Physicians | Past | Accepting new patients | |
| SC Cherokee Emergency Physicians | Past | Accepting new patients |
Locations
2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150
2845 E Highway 76
Ste 3
Mullins, SC 29574
Phone (843) 431-2730
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
Interoperability endpoints
- jamesvert@hodgesfp.allscriptsdirect.net
Organizations & group practices 11
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.
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Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1669559332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28",
"address_2": "1131 SALUDA ST.",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297316028",
"telephone_number": "803-325-7744",
"fax_number": "803-325-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 SALUDA ST.",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297316028",
"telephone_number": "803-325-7744",
"fax_number": "803-325-1789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERT",
"first_name": "JAMES",
"middle_name": "P",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "SC1166",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "1166",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0785PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.