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MR. JAMES WILLIS SOUTH PA-C
NPI 1639149214
Physician Assistant - Surgical in Colorado Springs, CO

Active since January 25, 2006PECOS Enrolled
97.58/100
CMS Quality Rating
175 S UNION BLVD STE 300, COLORADO SPRINGS, CO 80910(719) 365-1950(719) 365-1951 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. James Willis South Pa-c NPPES

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

MR. JAMES WILLIS SOUTH PA-C (NPI 1639149214) is an individual surgical provider in Colorado Springs, Colorado, licensed in Colorado (797) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639149214
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JAMES WILLIS SOUTHCredential: PA-C
Location Address175 S UNION BLVD STE 300Colorado Springs, CO 80910-3126
Mailing Address175 S Union Blvd Ste 300Colorado Springs, CO 80910-3126 · (719) 365-1950 · Fax (719) 365-1951
Phone(719) 365-1950
Fax(719) 365-1951
Sole ProprietorNo
Enumeration DateJanuary 25, 2006
Last NPPES UpdateSeptember 21, 2016
✔ NPI 1639149214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CO · 797
175 S UNION BLVD STE 300, Colorado Springs, CO 80910
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINDAD000CO
Medicare PIN269864YLB8CO
Medicaid03086712CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James Willis South Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

DR. PETER DANIEL FREDERICKS M.D.
Orthopaedic Surgery
175 S UNION BLVD STE 300
COLORADO SPRINGS, CO 80910
El Paso County (719) 365-1950
MEGHAN TERESA RUSH M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
175 S UNION BLVD STE 300
COLORADO SPRINGS, CO 80910
El Paso County (719) 365-6881
MIA KITAJIMA TRUONG NP
Nurse Practitioner (Family)
175 S UNION BLVD STE 300
COLORADO SPRINGS, CO 80910
El Paso County (719) 365-7630
KEVIN D PERCY PAC
Physician Assistant
175 S UNION BLVD STE 300
COLORADO SPRINGS, CO 80910
El Paso County (719) 365-1950
LISA M KEITH ARNP
Nurse Practitioner
175 S UNION BLVD STE 300
COLORADO SPRINGS, CO 80910
El Paso County (719) 364-5005
CAMERON HURST SIDDENS M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
175 S UNION BLVD STE 300
COLORADO SPRINGS, CO 80910
El Paso County (719) 365-7630
MATTHEW J CHEZEM RDN
Dietitian, Registered
175 S UNION BLVD STE 300
COLORADO SPRINGS, CO 80910
El Paso County (719) 365-7630
MINDY SIEGEL MD
Orthopaedic Surgery
175 S UNION BLVD STE 300
COLORADO SPRINGS, CO 80910
El Paso County (719) 365-1950

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 South's NPI number?

The NPI number for James South is 1639149214. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is James South located?

James South practices at 175 S Union Blvd Ste 300, Colorado Springs, CO 80910. The listed phone number is (719) 365-1950.

What is James South's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is James South enrolled in Medicare?

Yes. James South is registered in the Medicare PECOS enrollment system.

What insurance does James South accept?

Health plans from Select Health list James South 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 South was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.