Individual provider Active NPI

James Winbush, MD

  • Internal Medicine Physician
  • Anderson, SC
National Provider Identifier
1912008806
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221849 Issued in NY
Practice address
803 N Fant St
Suite 3a
Anderson, SC 29621-5700
Phone
(864) 225-7401
Fax
(864) 225-7201
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 09409 NY
Internal Medicine Physician 207R00000X 221849 NY Primary
Hospice and Palliative Medicine (Anesthesiology) Physician 207LH0002X 207641 NY
Internal Medicine Physician 207R00000X 36606 SC
Addiction Medicine (Internal Medicine) Physician 207RA0401X 2012522 NY

Addresses

Primary practice location

803 N Fant St
Suite 3a
Anderson, SC 29621-5700

Mailing address

PO Box 357
Anderson, SC 29622-0357
Phone (864) 225-7401

Other practice location 1

14 Richland Medical Park Dr Ste 320
Columbia, SC 29203-6896
Phone (803) 434-6771

Other identifiers 1

IdentifierTypeStateIssuer
366062MedicaidSC

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916002447 SC Practitioner - Internal MedicinePractitioner - Interventional Pain ManagementPractitioner - Sports MedicinePractitioner - Geriatric MedicinePractitioner - Addiction MedicinePractitioner - Preventive Medicine 1951309616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine, Interventional Pain Management, Preventive Medicine
Education
University of South Carolina School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pecora Medical, PCGroup PAC ID 2769660695, 2 clinicians

Practice addresses (Care Compare)

112 Essex Dr
Anderson, SC 29621-3319
Phone (864) 225-7401

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Anderson, SC, CCN 427846
  • Anmed Health Hospital, Anderson, SC, CCN 420027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207641NYMDHospice and Palliative Medicine (Anesthesiology) Physician
221849NYMDInternal Medicine Physician
36606SCMDInternal Medicine Physician
2012522NYMDAddiction Medicine (Internal Medicine) Physician
09409NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Urology Associates PA PastSince Jul 1, 1998 Accepting new patients
Cogent Medical Care PC Internal Medicine Past Accepting new patients
American Medical Products Inc PastSince Sep 25, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10605/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1912008806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296220357",
            "telephone_number": "864-225-7401",
            "fax_number": "864-225-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N FANT ST",
            "address_2": "SUITE 3A",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215700",
            "telephone_number": "864-225-7401",
            "fax_number": "864-225-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Richland Medical Park Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036896",
            "country_code": "US",
            "telephone_number": "803-434-6771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINBUSH",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "09409",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221849",
            "primary": true
        },
        {
            "code": "207LH0002X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "207641",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "36606",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "2012522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366062",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.