Active NPI
James A Goodson III, M.D.
- Ophthalmology Physician
- Sumter, SC
National Provider Identifier
1689677155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 19334
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S327577 | Other | SC | CIGNA |
| 9624212 | Other | SC | GHI |
| 180039403 | Other | SC | RAILROAD MEDICARE |
| 20036069 | Other | SC | SELECT HEALTH |
| 9060247 | Other | SC | PRIVATE HEALTHCARE SYSTEM |
| T36128 | Medicaid | SC | |
| 5418708 | Other | SC | AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
367 W Evans St
Florence, SC 29501-3429
Phone 8436694156312
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 616 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stokes Regional Eye Centers | Ophthalmology | Current | Accepting new patients |
| Stokes Regional Eye Center | Ophthalmology | Current | Accepting new patients |
| Sumter Optical, LLC | Past | 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
- 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.
-
- Ophthalmology Physician
- Florence, SC
- NPI 1194713636
-
- Ophthalmology Physician
- Sumter, SC
- NPI 1518955087
-
- Eyewear Supplier
- Sumter, SC
- NPI 1801945019
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.