Active NPI
James Neumann Childs, M.D.
- Dermatology Physician
- College Station, TX
National Provider Identifier
1023150083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- H1939
- Practice address
- 1605 Rock Prairie Rd
Ste 312
College Station, TX 77845-8358 - Phone
- (979) 696-4444
- NPI assigned
- Feb 13, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | H1939 | TX | Primary |
Addresses
Primary practice location
1605 Rock Prairie Rd
Ste 312
College Station, TX 77845-8358
Mailing address
1605 Rock Prairie Rd
Ste 312
College Station, TX 77845
Phone (979) 696-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83X580 | Other | TX | BLUE CROSS BLUE SHIELD TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 14, 2013 through Feb 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H1939 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James N Childs, M.D., P.a. | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dermatology Physician
- College Station, TX
- NPI 1447399944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023150083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 ROCK PRAIRIE RD",
"address_2": "STE 312",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "77845",
"telephone_number": "979-696-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 ROCK PRAIRIE RD",
"address_2": "STE 312",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458358",
"telephone_number": "979-696-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDS",
"first_name": "JAMES",
"middle_name": "NEUMANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "H1939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "83X580",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.