Individual provider Active NPI

James Wesley Haygood

  • Durable Medical Equipment & Medical Supplies
  • Pawleys Island, SC
National Provider Identifier
1689387284
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
121B Professional LN
Pawleys Island, SC 29585-7878
Phone
(803) 917-5811
NPI assigned
Dec 29, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SC Primary

Addresses

Primary practice location

121B Professional LN
Pawleys Island, SC 29585-7878

Mailing address

121B Professional LN
Pawleys Island, SC 29585-7878

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@innovative-prosthetics.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Prosthetics LLC Durable Medical Equipment & Medical Supplies CurrentSince Jan 22, 2023 Accepting new patients

Locations

121B Professional Ln
Pawleys Island, SC 29585
Phone (803) 917-5811

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": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1689387284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121B PROFESSIONAL LN",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121B PROFESSIONAL LN",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857878",
            "telephone_number": "803-917-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYGOOD",
        "first_name": "JAMES",
        "middle_name": "WESLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@innovative-prosthetics.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "121B Professional Ln",
            "city": "Pawleys Island",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295857878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pawleys Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.