JIMMY R. BAUCUM MD – NPI #1144206996
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

JIMMY BAUCUM is a physician located in GREENVILLE, SC. NPPES has assigned the NPI number 1144206996 to JIMMY BAUCUM on December 22, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 6 years ago on Feb 24, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JIMMY BAUCUM below.

NPI Profile for
JIMMY R. BAUCUM

NPI Number
1144206996
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JIMMY R. BAUCUM
Credentials
MD
Primary location
877 W FARIS RD
STE B
GREENVILLE, SC 29605-5608
Phone: (864) 455-6900 Fax: (864) 255-5619
Mailing address
1 INDEPENDENCE PT STE 212
GREENVILLE, SC 29615-4536
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 24, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 SC 14065

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE - Graduated 1987
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JIMMY BAUCUM is affiliated with the following medical group(s):
  • HOSPITAL
    • PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL
      701 GROVE ROAD
      GREENVILLE, SC 29605
    • PRISMA HEALTH OCONEE MEMORIAL HOSPITAL
      298 MEMORIAL DR
      SENECA, SC 29672

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