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MR. JAMES VAN JEFFERSON LISW
NPI 1932716172
Social Worker - Clinical in Columbia, SC

Active since September 30, 2020PECOS EnrolledAccepts Medicare Assignment
5110 FAIRFIELD RD, COLUMBIA, SC 29203(803) 893-7019 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2023, Mar 17, 2023, Jan 13, 2023 and 1 more (4 updates tracked since 2020).

About Mr. James Van Jefferson Lisw NPPES

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

MR. JAMES VAN JEFFERSON LISW (NPI 1932716172) is an individual clinical provider in Columbia, South Carolina, licensed in South Carolina (15512) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1932716172
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JAMES VAN JEFFERSONCredential: LISW
Location Address5110 FAIRFIELD RDColumbia, SC 29203-4323
Mailing AddressPo Box 740013Atlanta, GA 30374-0013 · (312) 733-9730 · Fax (773) 866-8014
Phone(803) 893-7019
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 30, 2020
Last NPPES UpdateJuly 18, 20234 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
✔ NPI 1932716172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in SC · 15512
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 15512 (SC)
5110 FAIRFIELD RD, Columbia, SC 29203
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Other Names 1

Professional Name (2)James Van Jefferson Lisw

Secondary Practice Location 1

Location 14605 Monticello Rd Bldg BColumbia, SC 29203-4156 · Phone (803) 714-0266 · Fax (803) 753-6333

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Oscar Health, UnitedHealthcare.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

Mr. James Van Jefferson Lisw 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 ID446621783
PECOS Enrollment IDI20251022004791
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

2

Medicare enrollment records show James Jefferson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eau Claire Cooperative Health Center, Inc.
0.5 mi
Federally Qualified Health Center (FQHC)
4808 COLONIAL DR
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 145 clinicians in this Medicare group
NPI 1427649201 (803) 888-1106
Grow Healthcare Group PA
572 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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.

New Patient
$0.00 typical visit price
range $53.57 – $163.84
Typical copayment $0.00 (range $13.39 – $40.96)
Most-billed visit code NA
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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.

MRS. SHAQUAN MARTEE BROWN FNP
Nurse Practitioner (Family)
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Richland County (803) 893-7019
LISA AMODIO LISW-CP, LCSW-R
Social Worker (Clinical)
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Richland County (803) 893-7019
MARY VARGHESE
Internal Medicine
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Richland County (803) 893-7019
MICHELLE L ROGERS FNP-C
Nurse Practitioner (Family)
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Richland County (803) 893-7019
VENESHA LORRAINE SCOTT APRN, NP-C
Nurse Practitioner (Family)
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Richland County (803) 893-7019
SHEILA D BELTON-GAYMON DNP, APRN, FNP B-C
Nurse Practitioner (Family)
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Richland County (803) 893-7019
ADRENNA JACKSON NP
Nurse Practitioner (Primary Care)
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Richland County (803) 893-7019

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 Jefferson's NPI number?

The NPI number for James Jefferson is 1932716172. It was assigned to this individual provider in the NPPES registry on September 30, 2020. The provider is also known as James Van Jefferson Lisw.

Where is James Jefferson located?

James Jefferson practices at 5110 Fairfield Rd, Columbia, SC 29203. The listed phone number is (803) 893-7019.

What is James Jefferson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is James Jefferson enrolled in Medicare?

Yes. James Jefferson 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 Jefferson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Jefferson reassigns Medicare benefits to 2 organizations: Eau Claire Cooperative Health Center, Inc. (Columbia, SC) and Grow Healthcare Group PA (Miami, FL). 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 Jefferson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Jefferson accept?

Health plans from First Choice Next, Oscar Health and UnitedHealthcare list James Jefferson 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 Jefferson was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.