Active NPI
James Lowell Hagan,Sr, M.D., LLC.
- Surgery Physician
- Aiken, SC
National Provider Identifier
1902000227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 12240
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2292 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Aiken, SC
- NPI 1609826403
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.