NPIMap

Individual provider Active NPI

James Lyman Fowler, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Greenwood, SC
National Provider Identifier
1689615429
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
20143 Issued in SC
Practice address
305 W Alexander Ave Ste a
Greenwood, SC 29646-4009
Phone
(864) 223-0505
Fax
(864) 223-7075
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 20143 SC
Plastic and Reconstructive Surgery Physician 2086S0122X 20143 SC Primary

Addresses

Primary practice location

305 W Alexander Ave Ste a
Greenwood, SC 29646-4009

Mailing address

305 W Alexander Ave Ste a
Greenwood, SC 29646-4009
Phone (864) 223-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523000246 SC Practitioner - Plastic and Reconstructive Surgery 3375584154 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Tennessee, HSC, College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Medical Group 393 clinicians

Practice addresses (Care Compare)

305 W Alexander Ave
A
Greenwood, SC 29646-4009
Phone (864) 725-4111

Hospital & facility affiliations

  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group Current Accepting new patients
Greenville Health System CurrentSince Jun 6, 2005 Accepting new patients
Self Medical Group Plastic and Reconstructive Surgery CurrentSince Dec 1, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Aug 1, 2016 Accepting new patients
Greenville Health System Current Accepting new patients
Self Medical Group CurrentSince Dec 1, 2022 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

305 W Alexander Ave
#A
Greenwood, SC 29646
Phone (864) 223-0505

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

103 Omni Dr
#A
Seneca, SC 29672
Phone (864) 482-3243

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: jfowler5629@selfregional.direct-ci.net
  • Direct secure messaging: jfowler5629@direct.ghs.myhfn.org

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1689615429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W ALEXANDER AVE STE A",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464009",
            "telephone_number": "864-223-0505",
            "fax_number": "864-223-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W ALEXANDER AVE STE A",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464009",
            "telephone_number": "864-223-0505",
            "fax_number": "864-223-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JAMES",
        "middle_name": "LYMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "SC",
            "license": "20143",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SC",
            "license": "20143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.