James Pridgen, M.D.
NPI 1215083563 · Internal Medicine Physician · Whiteville, NC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Pridgen, M.D. is a Internal Medicine Physician provider in Whiteville, NC (NPI 1215083563).
Provider details
- NPI number
- 1215083563
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 29495 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
3,900 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 842 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 579 | $117 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 481 | $13 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 286 | $15 |
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument82962 | 259 | $3 |
| Insertion of Needle Into Vein for Collection of Blood Sample |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 95 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 155 | 75 |
| Atorvastatin Calcium | 129 | 77 |
| Amlodipine Besylate | 126 | 70 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 106 | 51 |
| Oxycodone Hcl | 99 | 36 |
| Alprazolam | 88 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$248 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 119 Holly StHolly Ridge, NC 28445-7898Phone: (910) 329-1707
- 282 Flowers Pridgen DrWhiteville, NC 28472-9110Phone: (910) 640-2009
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Frequently asked questions
- What is James Pridgen's NPI number?
- James Pridgen's National Provider Identifier (NPI) is 1215083563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Pridgen's specialty?
- James Pridgen is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Pridgen located?
- James Pridgen's practice location on file with NPPES is 614 N Jk Powell Blvd, Whiteville, NC 28472-3008.
- What is James Pridgen's phone number?
- The practice phone number listed in the NPPES registry for James Pridgen is (910) 640-2009.
- Does James Pridgen accept Medicare?
- James Pridgen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Pridgen's NPI active?
- Yes — James Pridgen's NPI (1215083563) is active in the NPPES registry as of the last update on 2026-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.