Provider Demographics
NPI:1659495984
Name:J. FRANK JAMES, MD PA
Entity Type:Organization
Organization Name:J. FRANK JAMES, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:J.
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-531-0822
Mailing Address - Street 1:600B COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6386
Mailing Address - Country:US
Mailing Address - Phone:252-531-0822
Mailing Address - Fax:252-439-1013
Practice Address - Street 1:600B COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-6386
Practice Address - Country:US
Practice Address - Phone:252-531-0822
Practice Address - Fax:252-439-1013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC153592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCE29359Medicare UPIN
NC232103Medicare PIN