Individual provider Active NPI

James Jefferson McDowell Jr., OD

  • Optometrist
  • Kershaw, SC
National Provider Identifier
1851447932
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
613 Issued in SC
Practice address
112 East Hilton St
Kershaw, SC 29067
Phone
(803) 475-6075
Fax
(803) 475-6077
NPI assigned
Jan 25, 2007
Last updated
Jan 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 613 SC Primary

Addresses

Primary practice location

112 East Hilton St
Kershaw, SC 29067

Mailing address

PO Box 98
Kershaw, SC 29067
Phone (803) 475-6075

Other identifiers 1

IdentifierTypeStateIssuer
427693MedicaidSC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000870 SC Practitioner - Optometry 1759471675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 E Hilton St
Kershaw, SC 29067-1318
Phone (803) 475-6075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
613SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Kelley & McDowell PA Optometrist CurrentSince Feb 1, 1991 Accepting new patients

Locations

112 E Hilton St
Kershaw, SC 29067
Phone (803) 475-6075

217 N Pearl St
Pageland, SC 29728
Phone (843) 672-7233

Interoperability endpoints

  • Direct secure messaging: jmcdowell@mcdowellpa.qrsdm.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1851447932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "KERSHAW",
            "state": "SC",
            "postal_code": "29067",
            "telephone_number": "803-475-6075",
            "fax_number": "803-475-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 EAST HILTON ST",
            "city": "KERSHAW",
            "state": "SC",
            "postal_code": "29067",
            "telephone_number": "803-475-6075",
            "fax_number": "803-475-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "JAMES",
        "middle_name": "JEFFERSON",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427693",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kershaw, SC

Sources for this page

Verify at the official NPI Registry.