Organization Active NPI

James Lowell Hagan,Sr, M.D., LLC.

  • Surgery Physician
  • Aiken, SC
National Provider Identifier
1902000227
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12240 Issued in SC
Legal business name
JAMES LOWELL HAGAN,SR, M.D., LLC.
Practice address
100 Aurora PL
Suite 200
Aiken, SC 29801-6356
Phone
(803) 649-6380
Fax
(803) 649-6187
NPI assigned
Jun 12, 2007
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Ms. Debbie Berry
Title
Billing Manager
Phone
(803) 233-6576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 12240 SC Primary

Addresses

Primary practice location

100 Aurora PL
Suite 200
Aiken, SC 29801-6356

Mailing address

100 Aurora PL
Suite 200
Aiken, SC 29801-6356
Phone (803) 233-6576

Other identifiers 1

IdentifierTypeStateIssuer
GP2292MedicaidSC

National Provider Directory

National Provider Directory

Locations

100 Aurora Pl
Ste 200
Aiken, SC 29801
Phone (803) 649-6380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1902000227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AURORA PL",
            "address_2": "SUITE 200",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016356",
            "telephone_number": "803-233-6576",
            "fax_number": "803-233-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AURORA PL",
            "address_2": "SUITE 200",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016356",
            "telephone_number": "803-649-6380",
            "fax_number": "803-649-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES LOWELL HAGAN,SR, M.D., LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "803-233-6576",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": "12240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2292",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.