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ERSKINE A JAMES MD
NPI 1346326287
Internal Medicine - Cardiovascular Disease in Macon, GA

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
764 PINE ST, MACON, GA 31201(478) 633-7045(478) 633-9915 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2020, Jun 15, 2016 (2 updates tracked since 2016).

About Erskine A James Md NPPES

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

ERSKINE A JAMES MD (NPI 1346326287) is an individual cardiovascular disease provider in Macon, Georgia, licensed in Georgia (047980) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Mercer University School Of Medicine (1998).

NPPES Registry Identity

NPI1346326287
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameERSKINE A JAMESCredential: MD
Location Address764 PINE STMacon, GA 31201-2107
Mailing Address764 Pine StMacon, GA 31201-2107 · (478) 633-7045 · Fax (478) 633-9915
Phone(478) 633-7045
Fax(478) 633-9915
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1998
Enumeration DateOctober 31, 2006
Last NPPES UpdateSeptember 15, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
✔ NPI 1346326287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 047980
Definition
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.
764 PINE ST, Macon, GA 31201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Erskine A James Md 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 ID2466439849
PECOS Enrollment IDI20040702000668
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 8

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
254 services169 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
236 services229 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
111 services106 patients
Ultrasound of heart with probe in esophagus, with report 93312
This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.
93 services91 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services12 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
34 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111310
Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers11 claims14 services$19.52 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers15 claims96 services$38.97 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
2 suppliers15 claims1,512 services$1.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

ELISA PRATIMA MOHAN MD
Internal Medicine
764 PINE ST
MACON, GA 31201
Bibb County (478) 301-5824
DR. BYRON ANGELI BROOKS JR. MD
Obstetrics & Gynecology
764 PINE ST
MACON, GA 31201
Bibb County (478) 633-1056
DORNER LEE CARMICHAEL PA-C
Physician Assistant
764 PINE ST
MACON, GA 31201
Bibb County (478) 633-1696
LISA MARIAN KING M.D.
Obstetrics & Gynecology
764 PINE ST
MACON, GA 31201
Bibb County (478) 633-1056
DR. ALEXANDER EDWARD TUNNELL PHARMD
Pharmacist (Ambulatory Care)
764 PINE ST
MACON, GA 31201
Bibb County (478) 633-7397
LAURA MILLER D.O.
Internal Medicine
764 PINE ST
MACON, GA 31201
Bibb County (478) 633-1721
SUNNY DILIPKUMAR DATTANI DO
Internal Medicine
764 PINE ST
MACON, GA 31201
Bibb County (478) 301-5824
DR. JONATHAN TYLER SILVERMAN MD
Internal Medicine
764 PINE ST
MACON, GA 31201
Bibb County (478) 633-1721

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 Erskine James's NPI number?

The NPI number for Erskine James is 1346326287. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Erskine James located?

Erskine James practices at 764 Pine St, Macon, GA 31201. The listed phone number is (478) 633-7045.

What is Erskine James's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Erskine James enrolled in Medicare?

Yes. Erskine James 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 Erskine James accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Erskine James 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 Erskine James affiliated with any hospitals?

According to CMS data, Erskine James is affiliated with Atrium Health Navicent The Medical Center and Atrium Health Navicent Peach.

When was this NPI record last updated?

The NPPES record for Erskine James was last updated on September 15, 2020. 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.