Provider Demographics
NPI:1083693527
Name:KAUFMANN, JAMES GREGORY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GREGORY
Last Name:KAUFMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 CORPORATE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147
Mailing Address - Country:US
Mailing Address - Phone:704-637-0158
Mailing Address - Fax:704-637-7710
Practice Address - Street 1:530 CORPORATE CIRCLE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147
Practice Address - Country:US
Practice Address - Phone:704-637-0158
Practice Address - Fax:704-637-7710
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33385174400000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1046260OtherWELLCARE OF SC
1439315OtherCOVENTRY
NC48750OtherBCBS
NCP01307757OtherMEDICARE-RAILROAD
NC7947850Medicaid
SCQ33385Medicaid
4414440OtherAETNA
F34082Medicare UPIN
NCNCG833AMedicare PIN
NC2172510Medicare PIN
SCQ33385Medicaid