Individual provider Active NPI

James O. Wells, M.D.

  • Nephrology Physician
  • Atlanta, GA
National Provider Identifier
1023067725
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
13702 Issued in GA
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

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000081683FMedicaidGA
200045048OtherGABLUE SHIELD
CLIAOtherGA11D0875661

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000533 GA Practitioner - NephrologyPractitioner - Internal Medicine 5092995183 Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
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

LicenseStateTypeSpecialty
13702GAMDAnesthesiologist Assistant

Interoperability endpoints

  • FHIR API: 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

Verify at the official NPI Registry.