JAMES ALTON GAMBRELL M.D.
NPI 1427286525
Pediatrics in Columbia, SC
About James Alton Gambrell M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES ALTON GAMBRELL M.D. (NPI 1427286525) is an individual pediatrics provider in Columbia, South Carolina, licensed in South Carolina (39978) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
James Alton Gambrell M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show James Gambrell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbia, SC 29203
- Reassigned Medicare billing, South Carolina enrollment
- 1,466 clinicians in this Medicare group
Hartsville, SC 29550
- Reassigned Medicare billing, South Carolina enrollment
- 116 clinicians in this Medicare group
Charleston, SC 29414
- Reassigned Medicare billing, South Carolina enrollment
- 375 clinicians in this Medicare group
Birmingham, AL 35294
- Reassigned Medicare billing, Alabama enrollment
- 4,494 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBIA, SC 29203
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 Gambrell's NPI number?
The NPI number for James Gambrell is 1427286525. It was assigned to this individual provider in the NPPES registry on June 26, 2009.
Where is James Gambrell located?
James Gambrell practices at 14 Richland Medical Park Dr Ste 400, Columbia, SC 29203. The listed phone number is (803) 434-7950.
What is James Gambrell's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is James Gambrell enrolled in Medicare?
Yes. James Gambrell is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for James Gambrell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Gambrell reassigns Medicare benefits to 4 organizations: Prisma Health Medical Group-Midlands (Columbia, SC), Hartsville Medical Group LLC (Hartsville, SC), Bon Secours St. Francis Xavier Hospital, Inc. (Charleston, SC) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Gambrell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Gambrell accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list James Gambrell 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.
When was this NPI record last updated?
The NPPES record for James Gambrell was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# James Alton Gambrell, M.D. · NPI 1427286525
Pediatrics physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since June 26, 2009.
## Identity
- **NPI:** 1427286525 (Entity type: Individual)
- **Enumerated:** June 26, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 39978 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 14 RICHLAND MEDICAL PARK DR STE 400, Columbia, SC 29203-6878
- **Phone:** (803) 434-7950
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Prisma Health Medical Group-Midlands (NPI 1346761897, Columbia, SC); Hartsville Medical Group LLC (NPI 1598995300, Hartsville, SC); Bon Secours St. Francis Xavier Hospital, Inc. (NPI 1700620788, Charleston, SC); University Of Alabama Health Services Foundation, PC (NPI 1366638330, Birmingham, AL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2025
- **Other identifiers:** Other 39978 (SC); Medicaid 399786 (SC)
---
Source: [NPI Profile](https://npiprofile.com/npi/1427286525) · Data from the CMS NPPES public registry.