DR. JAMES ALEXIS MACDONALD JR. M.D.
NPI 1235304825
Psychiatry & Neurology - Neurology in Smithfield, NC

Q: What is James Macdonald's NPI number?

The NPI number for James Macdonald is 1235304825. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Q: What is James Macdonald's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for James Macdonald was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 24, 2008PECOS EnrolledAccepts Medicare Assignment

507 N BRIGHTLEAF BLVD, SUITE 100, SMITHFIELD, NC 27577(919) 937-3022(919) 934-4133 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. James Alexis Macdonald Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES ALEXIS MACDONALD JR. M.D. (NPI 1235304825) is an individual neurology provider in Smithfield, North Carolina, licensed in North Carolina (2010-00032) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Wilson Medical Center, and is a graduate of Wake Forest University School Of Medicine (2005).

NPPES Registry Identity

NPI1235304825

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. JAMES ALEXIS MACDONALD JR.Credential: M.D.

Location Address507 N BRIGHTLEAF BLVD, SUITE 100Smithfield, NC 27577-4405

Mailing Address2000 Perimeter Park Dr Ste 200Morrisville, NC 27560-8442

Phone(919) 937-3022

Fax(919) 934-4133

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 2005

Enumeration DateApril 24, 2008

Last NPPES UpdateMay 11, 2021

NPPES CertifiedMay 11, 2021

✔ NPI 1235304825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NC · 2010-00032

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

507 N BRIGHTLEAF BLVD, Smithfield, NC 27577

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Other Identifiers 1

Medicaid5914569NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Alexis Macdonald Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911037825

PECOS Enrollment IDI20100618000546

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

249 services171 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

65 services58 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

44 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

38 services37 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

31 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

31 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

18 services13 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

17 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilson Medical Center

Acute Care Hospitals · Wilson, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340126

Location1705 S Tarboro StWilson, NC 27893 · Wilson County

Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340147

Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNSTON MEMORIAL HOSPITAL AUTHORITY

Internal Medicine (Infectious Disease)

507 N BRIGHTLEAF BLVD, SUITE 201 MEDICAL ARTS BLDG
SMITHFIELD, NC 27577

Johnston County (919) 934-8544

ROBERT G LIPPITT MD

Urology

507 N BRIGHTLEAF BLVD, SUITE 205
SMITHFIELD, NC 27577

Johnston County (919) 934-5955

TRI COUNTY COMMUNITY HEALTH COUNCIL INC

Clinic/Center (Federally Qualified Health Center (FQHC))

507 N BRIGHTLEAF BLVD, SUITE 209
SMITHFIELD, NC 27577

Johnston County (877) 935-5255

MOHAMED & ASSOCIATES UROLOGY CENTER, PA

Registered Nurse (Urology)

507 N BRIGHTLEAF BLVD, SUITE 205
SMITHFIELD, NC 27577

Johnston County (919) 934-5955

JOHNSTON SPECIALTY PHYSICIAN SERVICES, INC.

Neuromusculoskeletal Medicine & OMM

507 N BRIGHTLEAF BLVD, SUITE 100
SMITHFIELD, NC 27577

Johnston County (919) 934-3022

PRIVATE DIAGNOSTIC CLINIC, PLLC

Internal Medicine

507 N BRIGHTLEAF BLVD, SUITE 100
SMITHFIELD, NC 27577

Johnston County (919) 684-8111

DR. ADEL W MOHAMED M.D.

Urology

507 N BRIGHTLEAF BLVD, SUITE 205
SMITHFIELD, NC 27577

Johnston County (919) 934-5955

PRIVATE DIAGNOSTIC CLINIC, PLLC

Orthopaedic Surgery (Sports Medicine)

507 N BRIGHTLEAF BLVD, SUITE 100
SMITHFIELD, NC 27577

Johnston County (919) 989-6535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Macdonald's NPI number?

The NPI number for James Macdonald is 1235304825. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is James Macdonald located?

James Macdonald practices at 507 N Brightleaf Blvd Suite 100, Smithfield, NC 27577. The listed phone number is (919) 937-3022.

What is James Macdonald's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is James Macdonald enrolled in Medicare?

Yes. James Macdonald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Macdonald accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list James Macdonald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Macdonald affiliated with any hospitals?

According to CMS data, James Macdonald is affiliated with Wilson Medical Center and Unc Health Nash.

When was this NPI record last updated?

The NPPES record for James Macdonald was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.