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DR. JAMES B TANKERSLEY JR. DMD
NPI 1790720043
Oral & Maxillofacial Surgery in Greenville, SC

Active since June 19, 2006Opted out of Medicare · through Sep 16, 2026
4103 E NORTH ST, GREENVILLE, SC 29615(864) 268-6417(864) 268-3200 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James B Tankersley Jr. Dmd NPPES

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

DR. JAMES B TANKERSLEY JR. DMD (NPI 1790720043) is an individual oral & maxillofacial surgery provider in Greenville, South Carolina, licensed in South Carolina (2600) and active in the NPI registry since June 2006. He has opted out of Medicare through September 16, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790720043
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. JAMES B TANKERSLEY JR.Credential: DMD
Location Address4103 E NORTH STGreenville, SC 29615
Mailing Address4103 E North StGreenville, SC 29615 · (864) 268-6417 · Fax (864) 268-3200
Phone(864) 268-6417
Fax(864) 268-3200
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790720043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in SC · 2600
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
4103 E NORTH ST, Greenville, SC 29615
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Other Identifiers 2

Medicare UPINT86043
MedicaidZ26008SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. James B Tankersley Jr. Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 16, 2020 through September 16, 2026.

Opt-Out Effective DateSeptember 16, 2020
Opt-Out In Effect ThroughSeptember 16, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

CCOFS ORAL SURGERY 2 LLC
Dentist (Oral and Maxillofacial Surgery)
4103 E NORTH ST
GREENVILLE, SC 29615
Greenville County (864) 268-6417

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 Tankersley's NPI number?

The NPI number for James Tankersley is 1790720043. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is James Tankersley located?

James Tankersley practices at 4103 E North St, Greenville, SC 29615. The listed phone number is (864) 268-6417.

What is James Tankersley's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is James Tankersley enrolled in Medicare?

No. James Tankersley has opted out of Medicare through September 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does James Tankersley accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list James Tankersley 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 Tankersley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.