NPIMap

Individual provider Active NPI

James S Blair III, MD

  • Family Medicine Physician
  • Surf City, NC
National Provider Identifier
1902885700
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32636 Issued in NC
Practice address
13567 NC Highway 50
Surf City, NC 28445-6555
Phone
(910) 329-9916
Fax
(910) 329-9919
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32636 NC Primary

Addresses

Primary practice location

13567 NC Highway 50
Surf City, NC 28445-6555

Mailing address

13567 NC Highway 50
Surf City, NC 28445-6555
Phone (910) 329-9916

Other identifiers 1

IdentifierTypeStateIssuer
8916154MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070601000166 NC Practitioner - Family Practice 8729000294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Island Family Medicine PLLCGroup PAC ID 8123156445, 4 clinicians

Practice addresses (Care Compare)

2540 NC Hwy 210 E
Hampstead, NC 28443-8988
Phone (910) 329-9916

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions60
Removal or shaving of skin growth1-10
Skin biopsy22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32636NCMDFamily Medicine Physician
34544NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcare Minute Clinic Inc Past Accepting new patients
Surf City Urgent Care and Family Medicine PLLC Family Medicine Past Accepting new patients
Heatheast Outer Banks Medical Center LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hatteras Village Medical Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: james.blair.iii.1@7419.direct.athenahealth.com
  • Direct secure messaging: james.blair.iii.1@2452.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1902885700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13567 NC HIGHWAY 50",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456555",
            "telephone_number": "910-329-9916",
            "fax_number": "910-329-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13567 NC HIGHWAY 50",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456555",
            "telephone_number": "910-329-9916",
            "fax_number": "910-329-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "JAMES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "32636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8916154",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surf City, NC

Sources for this page

Verify at the official NPI Registry.