James Oscar Wilde Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22475 Issued in MS

Practice address

201 S. Market St.
Charleston, MS 38921

Phone

(662) 625-7118

Fax

(662) 647-8954

NPI assigned

Aug 20, 2006

Last updated

May 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahatchie General HospitalGroup PAC ID 1052208097, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tallahatchie General Hospital-Cah Hospital, Charleston, MS, CCN 251304
• Tallahatchie General Hospital-Cah Nursing home, CCN 25Z304

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/tallagh-438e232a

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tallahatchie General Hospital

  • Critical Access Hospital
  • Charleston, MS
  • NPI 1679733497
  Medicare reassignment Care Compare group NPD
• Tallahatchie General Hospital

  • Diagnostic Radiology Physician
  • Charleston, MS
  • NPI 1215267232
  NPD
• Tallahatchie General Hospital

  • Critical Access Hospital
  • Charleston, MS
  • NPI 1992706303
  NPD
• Hospital Care Consultants of Sallisaw

  • Hospitalist Physician
  • Sallisaw, OK
  • NPI 1841423894
  NPD (past)
• Kickapoo Tribal Health Center

  • Federally Qualified Health Center (FQHC)
  • McLoud, OK
  • NPI 1265518203
  NPD (past)
• Midwest Hospitalists Services PLLC

  • Hospitalist Physician
  • Tahlequah, OK
  • NPI 1023098936
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tallahatchie General Hospital

  • Critical Access Hospital
  • Charleston, MS
  • NPI 1679733497
  Care Compare affiliation
• Tallahatchie General Hospital

  • Critical Access Hospital
  • Charleston, MS
  • NPI 1992706303

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1003921172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S. MARKET ST.",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "38921",
            "telephone_number": "662-625-7118",
            "fax_number": "662-647-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. MARKET ST.",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "38921",
            "telephone_number": "662-625-7118",
            "fax_number": "662-647-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "JAMES",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23852",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "22475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sammie M Tellis, M.S.
• The Pharmacy of Charleston
• Cassala Ward, MSN, RN, FNP-C
• Wiggins Family Dental, PLLC (Market Street Family Dental)
• Kyle Wiggins, D.M.D.
• Audrey Leann Williamson, NP-C
• Wolfe Family Medical Clinic PLLC
• Woods Drug Store Inc (Main Street Pharmacy)

• Family Medicine Physician in Charleston, MS
• Providers in Charleston, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.