NPIMap

Individual provider Active NPI

James Haywood Smith Jr., M.D.

  • Neurological Surgery Physician
  • Myrtle Beach, SC
National Provider Identifier
1750676524
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
83970 Issued in SC
Practice address
920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182
Phone
(843) 449-2336
Fax
(843) 497-0625
NPI assigned
Jun 9, 2011
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 51588 KY
Neurological Surgery Physician 207T00000X 83970 SC Primary

Addresses

Primary practice location

920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182

Mailing address

920 Doug White Dr Ste 460
Myrtle Beach, SC 29572-4182
Phone (843) 449-2336

Other identifiers 1

IdentifierTypeStateIssuer
7100253080MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JAMES.SMITH@hca5.eclinicaldirectplus.com

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
I20200608000193 SC Practitioner - Cardiovascular Disease (Cardiology) 1254642366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Strand Specialty Associates, LLCGroup PAC ID 0648451344, 29 clinicians

Practice addresses (Care Compare)

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

920 Doug White Dr
Suite 130
Myrtle Beach, SC 29572-4120
Phone (843) 848-1440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.55 of 100Reported as group
Quality
73.67
Promoting interoperability
99
Improvement activities
40
Cost
78.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion523
Laminectomy or laminotomy (partial removal of spine bones)106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51588KYMDNeurological Surgery Physician
83970SCMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care of Marion LLC Current Accepting new patients
Grand Strand Specialty Associates, LLC CurrentSince Jul 6, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Grand Strand Surgical Specialists, LLC Past Accepting new patients

Locations

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

920 Doug White Dr
Ste 460
Myrtle Beach, SC 29572
Phone (843) 449-2336

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: james.smith@hca5.eclinicaldirectplus.com

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
Senior Care of Marion LLCMarion, SC, CCN 425416 Skilled nursing facility 5% Or Greater Direct Ownership Interest (40%)
5% Or Greater Mortgage Interest (100%)
Trustee of the SNF
Adp of the SNF
Direct Ownership Interest (40%)		 Jun 30, 2020
Jun 30, 2020
Jun 30, 2020
Dec 31, 2024
Jun 30, 2020

Owned or controlled facilities with NPI records 1

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

  • Senior Care of Marion LLC
    • Skilled Nursing Facility
    • Marion, SC
    • NPI 1639680572

    5% Or Greater Direct Ownership Interest, 5% Or Greater Mortgage Interest, Adp of the SNF, Direct Ownership Interest, Trustee of the SNF

    CMS ownership

Organizations & group practices 4

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1750676524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 460",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724182",
            "telephone_number": "843-449-2336",
            "fax_number": "843-497-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DOUG WHITE DR STE 460",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724182",
            "telephone_number": "843-449-2336",
            "fax_number": "843-497-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "HAYWOOD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2022-01-26",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "51588",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "83970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100253080",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JAMES.SMITH@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "920 Doug White Dr Ste 460",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295724182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.