Active NPI
James Girod Pace, M.D.
- Family Medicine Physician
- Lillian, AL
National Provider Identifier
1881701449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00013078
- Practice address
- 12839 6TH St
Lillian, AL 36549-0797 - Phone
- (251) 962-4111
- Fax
- (251) 962-4112
- NPI assigned
- Aug 23, 2006
- Last updated
- Mar 17, 2008
- 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 | 00013078 | AL | Primary |
Addresses
Primary practice location
12839 6TH St
Lillian, AL 36549-0797
Mailing address
PO Box 797
Lillian, AL 36549-0797
Phone (251) 962-4111
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581732073 36549 A001 | Other | WI | TRICARE |
| 0619272 | Other | TX | AETNA |
| 0004359376 | Other | KY | AETNA |
| 581732073 0001 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101007001069 | AL | Practitioner - Family Practice | 4587856604 | Practice locations: Lillian, AL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1881701449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 797",
"city": "LILLIAN",
"state": "AL",
"postal_code": "365490797",
"telephone_number": "251-962-4111",
"fax_number": "251-962-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12839 6TH ST",
"city": "LILLIAN",
"state": "AL",
"postal_code": "365490797",
"telephone_number": "251-962-4111",
"fax_number": "251-962-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "JAMES",
"middle_name": "GIROD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00013078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "581732073 36549 A001",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0619272",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004359376",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "581732073 0001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lillian, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.