Active NPI 1255710588 Individual Practitioner Male Practitioner

Dr. James Lawrence , MD

Internal Medicine • Rome, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Lawrence, MD is a certified Internal Medicine practicing in Rome, GA. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Lawrence delivers high-quality medical care to the local community at 501 REDMOND RD NW.

Dr. Lawrence maintains professional affiliations with Madison Emergency Group, Pc, Baldwin Emergency Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, injection, ceftriaxone sodium, per 250 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

501 Redmond Rd Nw

Rome, GA 301651415

Telephone 7062364950

Associated Practice Facility / Clinic

🏢 Redmond Park Hospital, Llc Facility NPI 1548214257

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Rome, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -6.9 yrs vs City Avg

City Avg: 17.9 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

81 Specialists

Practicing in Rome, GA (4065 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lawrence (11 Years) 11 Yrs

Rome Specialty Average (17.9 Years) 17.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	620	55	$5.00	$0.11
J0696 Injection, ceftriaxone sodium, per 250 mg	252	56	$12.50	$0.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	154	71	$40.00	$12.93
99285 Emergency department visit for life threatening or functioning severity	125	122	$2194.00	$169.96
87804 Detection test by immunoassay with direct visual observation for influenza virus	120	54	$60.00	$15.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	73	$250.00	$117.35
99213 Established patient office or other outpatient visit, typically 15 minutes	81	67	$200.00	$84.53
J1885 Injection, ketorolac tromethamine, per 15 mg	64	17	$12.50	$0.63
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	60	54	$200.00	$34.08
99284 Emergency department visit with moderate level of medical decision making	51	51	$1487.00	$117.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	47	46	$109.00	$7.71
81003 Automated urinalysis test	38	34	$100.00	$2.20
36415 Insertion of needle into vein for collection of blood sample	25	20	$40.00	$8.65
71046 X-ray of chest, 2 views	21	21	$120.00	$30.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$250.00	$104.05
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$60.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,980	152	$5.00	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	952	163	$12.50	$0.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	545	206	$40.00	$13.03
87804 Detection test by immunoassay with direct visual observation for influenza virus	411	157	$60.00	$16.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	186	$250.00	$118.21
J1885 Injection, ketorolac tromethamine, per 15 mg	286	63	$12.50	$0.55
99213 Established patient office or other outpatient visit, typically 15 minutes	259	158	$200.00	$83.85
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	205	157	$200.00	$34.46
99285 Emergency department visit for life threatening or functioning severity	137	128	$2089.00	$172.51
71046 X-ray of chest, 2 views	118	86	$120.00	$30.52
81003 Automated urinalysis test	107	77	$100.00	$2.20
99284 Emergency department visit with moderate level of medical decision making	81	77	$1416.00	$118.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	66	64	$103.00	$7.87
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	57	48	$60.00	$16.20
36415 Insertion of needle into vein for collection of blood sample	57	40	$40.00	$8.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$275.00	$156.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$250.00	$105.42
99291 Critical care, first 30-74 minutes	29	28	$2690.00	$207.09
93000 Routine ekg using at least 12 leads including interpretation and report	29	27	$100.00	$13.44
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	28	22	$50.00	$1.47
74021 X-ray of abdomen, minimum of 3 views	14	13	$160.00	$39.19
74018 X-ray of abdomen, 1 view	14	14	$80.00	$27.28
73030 X-ray of shoulder, minimum of 2 views	12	12	$120.00	$31.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,102	94	$5.00	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	576	113	$12.50	$0.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	321	148	$40.00	$13.51
87804 Detection test by immunoassay with direct visual observation for influenza virus	290	121	$60.00	$16.26
99285 Emergency department visit for life threatening or functioning severity	227	202	$2089.00	$175.18
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	185	159	$103.00	$8.06
99213 Established patient office or other outpatient visit, typically 15 minutes	176	125	$200.00	$86.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	134	$250.00	$122.54
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	158	128	$200.00	$34.72
J1885 Injection, ketorolac tromethamine, per 15 mg	122	32	$12.50	$0.56
81003 Automated urinalysis test	82	61	$100.00	$2.22
99291 Critical care, first 30-74 minutes	63	61	$2690.00	$213.02
99284 Emergency department visit with moderate level of medical decision making	51	49	$1416.00	$120.59
99283 Emergency department visit with low level of medical decision making	48	47	$747.00	$71.37
71046 X-ray of chest, 2 views	43	36	$120.00	$31.40
36415 Insertion of needle into vein for collection of blood sample	40	28	$40.00	$2.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$275.00	$160.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$250.00	$107.19
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	25	14	$50.00	$1.77
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	24	23	$60.00	$16.23
99292 Critical care, each additional 30 minutes	17	13	$1348.00	$107.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	263	234	$2089.00	$177.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	192	169	$103.00	$8.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg	180	16	$5.00	$0.15
J0696 Injection, ceftriaxone sodium, per 250 mg	92	21	$17.07	$0.54
99291 Critical care, first 30-74 minutes	83	80	$2690.00	$215.43
J1885 Injection, ketorolac tromethamine, per 15 mg	70	15	$11.14	$0.44
99284 Emergency department visit with moderate level of medical decision making	66	62	$1416.00	$121.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	36	$40.00	$13.39
99213 Established patient office or other outpatient visit, typically 15 minutes	62	47	$200.00	$87.50
99283 Emergency department visit with low level of medical decision making	53	49	$747.00	$71.58
99292 Critical care, each additional 30 minutes	45	30	$1348.00	$108.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$250.00	$124.54
81003 Automated urinalysis test	29	26	$68.97	$2.25
36415 Insertion of needle into vein for collection of blood sample	19	12	$40.00	$3.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$250.00	$107.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	293	254	$2086.80	$173.41
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	242	219	$103.00	$8.38
99291 Critical care, first 30-74 minutes	143	134	$2690.00	$219.46
99292 Critical care, each additional 30 minutes	74	50	$1348.00	$110.74
99284 Emergency department visit with moderate level of medical decision making	63	61	$1411.02	$119.18
99283 Emergency department visit with low level of medical decision making	28	28	$754.00	$64.97
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	12	12	$1348.00	$144.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	904	831	$1608.87	$171.38
99284 Emergency department visit with moderate level of medical decision making	121	121	$1093.79	$115.58
99291 Critical care, first 30-74 minutes	40	40	$2249.65	$218.31
99283 Emergency department visit with low level of medical decision making	35	34	$718.83	$60.43
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	30	$103.00	$8.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	472	445	$1501.26	$171.20
99284 Emergency department visit with moderate level of medical decision making	63	63	$968.43	$116.31
99291 Critical care, first 30-74 minutes	32	32	$1853.00	$219.07
99283 Emergency department visit with low level of medical decision making	20	20	$525.40	$61.21

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 78990

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1255710588 (GA)

Hospital & Practice Group Affiliations

Madison Emergency Group, Pc

1740 Lions Club Rd, Madison, GA 306504762

Phone: 7063421667

Baldwin Emergency Group, Llc

821 N Cobb St, Milledgeville, GA 310612343

Phone: 4784543500

Secondary Practice Locations

777 Hemlock St, Msc# 69

Macon, GA 312012102

Phone: 4786330550

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Stephen Watson , FNP

Nurse Practitioner

NPI 1205373214

Family Nurse Practitioner

Dr. Nicole Leonard , DO

Emergency Medicine

NPI 1336584291

Doctor of Osteopathic Medicine (D.O.)

Grant Elliott , APRN

Nurse Practitioner

NPI 1548182470

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location September 11, 2018

Registered at 501 REDMOND RD NW, ROME, GA 301651415 (Tel: 7062364950)

📍

Updated Business Mailing Address September 11, 2018

Registered at 9 HALEY DR SE, ROME, GA 301616027 (Tel: 6094206658)

✅

NPI Profile Active May 19, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 19, 2015

Registered at 777 HEMLOCK ST, MSC# 69, MACON, GA 312012102 (Tel: 4786330550)

📍

Updated Business Mailing Address May 19, 2015

Registered at 777 HEMLOCK ST, MSC# 69, MACON, GA 312012102 (Tel: 4786330550)

👤

Provider Name / Credentials Updated May 19, 2015

Recorded as JAMES LAWRENCE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 19, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255710588

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 19, 2015

Last Update: September 11, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9 Haley Dr Se

Rome, GA 301616027

Phone: 6094206658

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.