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DR. JAMES CLIFTON CALDWELL M.D.
NPI 1811911126
Family Medicine in Pickens, SC

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
123 W.G. ACKER DRIVE, PICKENS, SC 29671(864) 898-1137 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2026, Jun 12, 2023 (2 updates tracked since 2023).

About Dr. James Clifton Caldwell M.d. NPPES

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

DR. JAMES CLIFTON CALDWELL M.D. (NPI 1811911126) is an individual family medicine provider in Pickens, South Carolina, licensed in South Carolina (15727) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cannon Memorial Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (1990).

NPPES Registry Identity

NPI1811911126
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES CLIFTON CALDWELLCredential: M.D.
Location Address123 W.G. ACKER DRIVEPickens, SC 29671
Mailing AddressPo Box 100174Columbia, SC 29202-3174 · (864) 898-1137
Phone(864) 898-1137
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1990
Enumeration DateJuly 27, 2006
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1811911126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 15727
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 15727 (SC)
123 W.G. ACKER DRIVE, Pickens, SC 29671
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Other Identifiers 1

MedicaidL12189SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Clifton Caldwell 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 ID547251696
PECOS Enrollment IDI20040519000467
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 Billing Reassignments

3

Medicare enrollment records show James Caldwell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cannon Memorial Hospital
Same address
General Acute Care Hospital
123 W G ACKER DR
Pickens, SC 29671
  • Reassigned Medicare billing, South Carolina enrollment
  • 46 clinicians in this Medicare group
NPI 1497744254 (864) 878-4791
Edcare Consulting LLC
55 mi
Emergency Medicine
420 THOMSON CIR
Abbeville, SC 29620
  • Reassigned Medicare billing, South Carolina enrollment
  • 34 clinicians in this Medicare group
NPI 1053534750 (877) 693-5700
Newberry County Memorial Hospital
78 mi
General Acute Care Hospital
2669 KINARD ST
Newberry, SC 29108
  • Reassigned Medicare billing, South Carolina enrollment
  • 13 clinicians in this Medicare group
NPI 1710073739 (803) 276-7570

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
150 services135 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
109 services102 patients

Hospital Affiliations CMS Care Compare

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

Cannon Memorial Hospital

Acute Care Hospitals · Pickens, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420011
Location123 W G Acker DrivePickens, SC 29671 · Pickens County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29671 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 4

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

DR. BYRON PATTERSON MARSH M.D.
Orthopaedic Surgery
123 W.G. ACKER DRIVE, SUITE C
PICKENS, SC 29671
Pickens County (864) 878-1231
DR. MICHAEL L DILLARD M.D.
Internal Medicine
123 W.G. ACKER DRIVE
PICKENS, SC 29671
Pickens County (864) 878-4791
PETER C WOODS CRNA
Nurse Anesthetist, Certified Registered
123 W.G. ACKER DRIVE
PICKENS, SC 29671
Pickens County (864) 878-4791
DR. MICHAEL E DONALD M.D.
Emergency Medicine (Emergency Medical Services)
123 W.G. ACKER DRIVE
PICKENS, SC 29671
Pickens County (864) 878-4791

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 Caldwell's NPI number?

The NPI number for James Caldwell is 1811911126. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is James Caldwell located?

James Caldwell practices at 123 W.G. Acker Drive, Pickens, SC 29671. The listed phone number is (864) 898-1137.

What is James Caldwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Caldwell enrolled in Medicare?

Yes. James Caldwell 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.

Which organizations bill Medicare for James Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Caldwell reassigns Medicare benefits to 3 organizations: Cannon Memorial Hospital (Pickens, SC), Edcare Consulting LLC (Abbeville, SC) and Newberry County Memorial Hospital (Newberry, SC). 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 Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Caldwell accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list James Caldwell 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 Caldwell affiliated with any hospitals?

According to CMS data, James Caldwell is affiliated with Cannon Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Caldwell was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.