Active NPI
Thomas Reagan Wolf, M.D.
- Emergency Medicine Physician
- Rincon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301092890
- Practice address
- 5629 Hwy 21 S
Rincon, GA 31326-9416 - Phone
- (912) 295-2133
- Fax
- (912) 295-5924
- NPI assigned
- Jul 31, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301092890 | MI | Primary |
Addresses
Primary practice location
5629 Hwy 21 S
Rincon, GA 31326-9416
Mailing address
5629 Hwy 21 S
Rincon, GA 31326-9416
Phone (912) 295-2133
Other practice location 1
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-1020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030
2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301092890 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Emergency Associates | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients |
Locations
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
5629 Highway 21 S
Rincon, GA 31326
Phone (912) 295-2133
11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
-
- Emergency Medicine Physician
- Rincon, GA
- NPI 1528098290
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1013173822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5629 HWY 21 S",
"city": "RINCON",
"state": "GA",
"postal_code": "313269416",
"telephone_number": "912-295-2133",
"fax_number": "912-295-5924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5629 HWY 21 S",
"city": "RINCON",
"state": "GA",
"postal_code": "313269416",
"telephone_number": "912-295-2133",
"fax_number": "912-295-5924"
}
],
"practiceLocations": [
{
"address_1": "6071 W Outer Dr",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482352624",
"country_code": "US",
"telephone_number": "313-966-1020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLF",
"first_name": "THOMAS",
"middle_name": "REAGAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-31",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301092890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.