NPIMap

Individual provider Active NPI

James Morrison Fuller Jr., MD

  • Cardiovascular Disease Physician
  • Greenwood, SC
National Provider Identifier
1689688301
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
39591 Issued in SC
Practice address
421 Epting Ave
Greenwood, SC 29646-4041
Phone
(864) 227-6818
Fax
(864) 227-0850
NPI assigned
Jul 28, 2006
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 39591 SC Primary

Addresses

Primary practice location

421 Epting Ave
Greenwood, SC 29646-4041

Mailing address

421 Epting Ave
Greenwood, SC 29646-4041
Phone (864) 227-6818

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfuller131657@selfregional.direct-ci.net

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
I20160713002576 SC Practitioner - Cardiovascular Disease (Cardiology) 6608763065 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Mississippi School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Practice addresses (Care Compare)

102 R L Sawyer MD Dr
Saluda, SC 29138-9199
Phone (864) 445-2173

105 Vinecrest CT
Greenwood, SC 29646-8031

115 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-7272

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865

155 Ridge Medical Plaza Rd
Edgefield, SC 29824-4531
Phone (803) 637-3146

160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090

23013 Hwy 76 E C
Clinton, SC 29325-7530
Phone (864) 358-5955

300 Ridge Medical Plaza Rd
Edgefield, SC 29824-4525
Phone (803) 384-4140

420 Thomson Cir
Abbeville, SC 29620-5656
Phone (864) 366-1649

421 Epting Ave
Greenwood, SC 29646-4041
Phone (864) 227-6818

905 W Greenwood St
Abbeville, SC 29620-5678
Phone (864) 725-7430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39591SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville County Memorial Hospital CurrentSince Apr 1, 2024 Accepting new patients
Self Regional Healthcare Partners CurrentSince Aug 13, 2021 Accepting new patients
Self Regional Healthcare Current Accepting new patients
Self Regional Healthcare Cardiovascular Disease CurrentSince Sep 15, 2025 Accepting new patients
Self Medical Group CurrentSince Aug 1, 2016 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Apr 1, 2024 Accepting new patients
Self Regional Healthcare Partners CurrentSince Aug 13, 2021 Accepting new patients
Self Medical Group CurrentSince Aug 1, 2016 Accepting new patients
Self Regional Healthcare Past Accepting new patients
Self Regional Healthcare Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients
River Oaks Management Company LLC Past Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

75 Remittance Dr
Dept 6793
Chicago, IL 60675

75 Remittance Dr
Dept 6875
Chicago, IL 60675

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

905 W Greenwood St
Abbeville, SC 29620
Phone (864) 223-8090

155 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3146

300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

421 Epting Ave
Greenwood, SC 29646
Phone (864) 227-6818

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice and Palliative Care of the Piedmont IncGreenwood, SC, CCN 421507 Hospice Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 7

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1689688301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 EPTING AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464041",
            "telephone_number": "864-227-6818",
            "fax_number": "864-227-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 EPTING AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464041",
            "telephone_number": "864-227-6818",
            "fax_number": "864-227-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JAMES",
        "middle_name": "MORRISON",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "39591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfuller131657@selfregional.direct-ci.net",
            "affiliation": "N",
            "address_1": "421 Epting Ave",
            "city": "Greenwood",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296464041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.