| Jimmy Ray Baucum, MD | |
|
877 W Faris Rd, Ste B, Greenville, SC 29605-5608 | |
| (864) 455-6900 | |
| (864) 255-5619 |
| Full Name | Jimmy Ray Baucum |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 38 Years |
| Location | 877 W Faris Rd, Greenville, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144206996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 14065 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Health Oconee Memorial Hospital | Seneca, SC | Hospital |
| Prisma Health Greenville Memorial Hospital | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health University Medical Group | 8325950983 | 2220 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Anmed Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710918321 PECOS PAC ID: 1951215243 Enrollment ID: O20031119000738 |
| Entity Name | St Francis Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558305995 PECOS PAC ID: 3779487186 Enrollment ID: O20031126000091 |
| Entity Name | Greenville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy Ray Baucum, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: () - | Jimmy Ray Baucum, MD 877 W Faris Rd, Ste B, Greenville, SC 29605-5608 Ph: (864) 455-6900 |
Hilary Lauren Knippers, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 876 W Faris Rd, Greenville, SC 29605 Phone: 864-455-5648 | |
Abdullah Darvesh, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Daniel Ruiz, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Rhett Mckey Shirley, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd, Suite 520, Greenville, SC 29605 Phone: 864-455-9033 Fax: 864-455-6559 | |
Mohammad Rashid, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 61 Pointe Cir, Greenville, SC 29615 Phone: 864-286-6960 Fax: 864-286-8710 | |
Benjamin Ellis Rawls, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 5, Greenville, SC 29605 Phone: 864-455-4411 | |
Alan Robert Thompson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, 5th Floor, Greenville, SC 29605 Phone: 864-455-4411 Fax: 864-455-4480 |