Active NPI
James Caesar Mensone, MD
- Family Medicine Physician
- Greenville, SC
National Provider Identifier
1740285261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7427
- Practice address
- 10 Enterprise Blvd
Ste 112
Greenville, SC 29615-3534 - Phone
- (864) 297-4093
- Fax
- (864) 297-4095
- NPI assigned
- Jun 21, 2005
- Reactivated
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7427 | SC | Primary |
Addresses
Primary practice location
10 Enterprise Blvd
Ste 112
Greenville, SC 29615-3534
Mailing address
10 Enterprise Blvd
Ste 112
Greenville, SC 29615-3534
Phone (864) 297-4093
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134290167 | Other | SC | TAX ID |
| 1710122239 | Other | SC | BILLING NPI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7427 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Physician Services Inc | Family Medicine | Past | Accepting new patients |
| St Francis Physician Services Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
-
- Internal Medicine Physician
- Greenville, SC
- NPI 1871895771
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270166400000",
"number": "1740285261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ENTERPRISE BLVD",
"address_2": "STE 112",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153534",
"telephone_number": "864-297-4093",
"fax_number": "864-297-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ENTERPRISE BLVD",
"address_2": "STE 112",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153534",
"telephone_number": "864-297-4093",
"fax_number": "864-297-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENSONE",
"first_name": "JAMES",
"middle_name": "CAESAR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2010-04-02",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "7427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "134290167",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILLING NPI",
"identifier": "1710122239",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.