Individual provider Active NPI

James A Goodson III, M.D.

  • Ophthalmology Physician
  • Sumter, SC
National Provider Identifier
1689677155
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
19334 Issued in SC
Practice address
365 W Wesmark Blvd
Sumter, SC 29150-1987
Phone
(803) 905-8020
Fax
(803) 905-8025
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 19334 SC Primary

Addresses

Primary practice location

365 W Wesmark Blvd
Sumter, SC 29150-1987

Mailing address

367 West Evans Street
Florence, SC 29501-3429
Phone (843) 669-4156

Other identifiers 7

IdentifierTypeStateIssuer
S327577OtherSCCIGNA
9624212OtherSCGHI
180039403OtherSCRAILROAD MEDICARE
20036069OtherSCSELECT HEALTH
9060247OtherSCPRIVATE HEALTHCARE SYSTEM
T36128MedicaidSC
5418708OtherSCAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgoodson@stokeseye.intellechartdirect.net Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000623 SC Practitioner - Ophthalmology 7113976077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stokes Regional Eye CentersGroup PAC ID 0345143186, 7 clinicians

Practice addresses (Care Compare)

367 W Evans St
Florence, SC 29501-3429
Phone 8436694156312

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery616

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Regional Eye Centers Ophthalmology Current Accepting new patients
Stokes Regional Eye Center Ophthalmology CurrentSince Feb 12, 2011 Accepting new patients
Sumter Optical, LLC PastSince Aug 13, 2010 Accepting new patients

Locations

602 E Cheves St
Florence, SC 29506
Phone (803) 464-0497

367 W Evans St
Florence, SC 29501
Phone (843) 669-4156

365 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 905-8047

Interoperability endpoints

  • Direct secure messaging: jgoodson@stokeseye.intellechartdirect.net

Organizations & group practices 3

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1689677155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 WEST EVANS STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013429",
            "telephone_number": "843-669-4156",
            "fax_number": "843-664-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501987",
            "telephone_number": "803-905-8020",
            "fax_number": "803-905-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "19334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "S327577",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9624212",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180039403",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "20036069",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "9060247",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T36128",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5418708",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgoodson@stokeseye.intellechartdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "365 W Wesmark Blvd",
            "city": "Sumter",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291501987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.