Individual provider Active NPI

James Melvin Lindsey Jr., M.D.

  • Pediatrics Physician
  • Conway, SC
National Provider Identifier
1841291887
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7486 Issued in SC
Practice address
8030 Myrtle Trace Dr
Conway, SC 29526-8957
Phone
(843) 347-4677
Fax
(843) 347-4678
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7486 SC Primary

Addresses

Primary practice location

8030 Myrtle Trace Dr
Conway, SC 29526-8957

Mailing address

8030 Myrtle Trace Dr
Conway, SC 29526-8957
Phone (843) 347-4677

Other identifiers 2

IdentifierTypeStateIssuer
074868MedicaidSC
7486OtherSCLICENSE

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
I20100813000492 SC Practitioner - Pediatric Medicine 7113084633 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7486SCMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Careteam Plus, Inc. CurrentSince Dec 4, 2023 Accepting new patients
Careteam Plus, Inc. Pediatrics CurrentSince Dec 4, 2023 Accepting new patients
Coastal Pediatrics Pediatrics CurrentSince Jul 24, 2022 Accepting new patients
Careteam Plus, Inc. Past Accepting new patients

Locations

8030 Myrtle Trace Dr
Conway, SC 29526
Phone (843) 347-4677

100 Professional Park Dr
Conway, SC 29526
Phone (843) 234-0005

Interoperability endpoints

  • Direct secure messaging: drlindsey@cp.ssdirect.aprima.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841291887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268957",
            "telephone_number": "843-347-4677",
            "fax_number": "843-347-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268957",
            "telephone_number": "843-347-4677",
            "fax_number": "843-347-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "JAMES",
        "middle_name": "MELVIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "7486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074868",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7486",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.