Active NPI
James O. Wells, M.D.
- Nephrology Physician
- Atlanta, GA
National Provider Identifier
1023067725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 13702
- Practice address
- 2300 Henderson Mill Rd NE
Suite 421
Atlanta, GA 30345-2745 - Phone
- (770) 934-2585
- Fax
- (770) 493-6526
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 13702 | GA | Primary |
Addresses
Primary practice location
2300 Henderson Mill Rd NE
Suite 421
Atlanta, GA 30345-2745
Mailing address
2249 Greencrest Dr NE
Atlanta, GA 30345-2663
Phone (770) 934-2585
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000081683F | Medicaid | GA | |
| 200045048 | Other | GA | BLUE SHIELD |
| CLIA | Other | GA | 11D0875661 |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110207000533 | GA | Practitioner - Nephrology | 5092995183 | Practice locations: Atlanta, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Wake Forest University School of Medicine, 1963
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2300 Henderson Mill Nerd
Suite 421
Atlanta, GA 30345-2704
Phone (770) 934-2585
2300 Henderson Mill Rd NE
Suite 421
Atlanta, GA 30345-2704
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13702 | GA | MD | Anesthesiologist Assistant |
Interoperability endpoints
- https://api.platform.athenahealth.com/4695/brand/5/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1023067725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2249 GREENCREST DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452663",
"telephone_number": "770-934-2585",
"fax_number": "770-493-6526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 HENDERSON MILL RD NE",
"address_2": "SUITE 421",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452745",
"telephone_number": "770-934-2585",
"fax_number": "770-493-6526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "JAMES",
"middle_name": "O.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "13702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000081683F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "200045048",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "11D0875661",
"identifier": "CLIA",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.