Active NPI
Charles Chesley Wells, M.D.
- Sleep Medicine (Psychiatry & Neurology) Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- 019807
- Practice address
- 435 2ND St
430
Macon, GA 31201-8298 - Phone
- (478) 745-5779
- Fax
- (478) 742-7796
- NPI assigned
- Jul 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 019807 | GA | Primary |
| Neurology Physician | 2084N0400X | D19807 | GA |
Addresses
Primary practice location
435 2ND St
430
Macon, GA 31201-8298
Mailing address
200 Corporate PL
5B
Peabody, MA 01960-3840
Phone (978) 536-7400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000260246G | Medicaid | GA | |
| 000260246H | Medicaid | GA | |
| 000260246J | Medicaid | GA | |
| 000260246I | Medicaid | GA | |
| 915875 | Other | BLUE CROSS | |
| 000260246K | Medicaid | GA |
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
- Neurology
- Education
- Emory University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1715 Watson Blvd
Warner Robins, GA 31093-3633
Phone (478) 745-5779
275 Sheraton Blvd
Macon, GA 31210-1359
910 N 5TH St
Suite E
Cordele, GA 31015-3254
Phone (478) 745-5779
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.95 of 100
- Quality
- 86.99
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D19807 | GA | MD | Neurology Physician |
| 019807 | GA | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Practitioners, LLC | Neurology | Current | Accepting new patients |
| Neurology Associates LLP | Neurology | Past | Accepting new patients |
| Health Services of Central Georgia, Inc | Past | Accepting new patients | |
| Charles C Wells | Past | Accepting new patients |
Locations
910 N 5th St
Ste E
Cordele, GA 31015
Phone (478) 745-5779
275 Sheraton Blvd
Macon, GA 31210
Phone (478) 474-7014
435 2nd St
Ste 430
Macon, GA 31201
Phone (478) 745-5779
770 Hemlock St
Macon, GA 31201
Phone (478) 633-1040
1715 Watson Blvd
Warner Robins, GA 31093
Phone (478) 742-0904
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CACGAA
- charles.wells@smcg.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/CACGAA/Endpoint/CACGAA
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.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Macon, GA
- NPI 1023441656
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1376743880
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
- Neurology Physician
- Macon, GA
- NPI 1639206386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1053332841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE PL",
"address_2": "5B",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603840",
"telephone_number": "978-536-7400",
"fax_number": "978-536-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 2ND ST",
"address_2": "430",
"city": "MACON",
"state": "GA",
"postal_code": "312018298",
"telephone_number": "478-745-5779",
"fax_number": "478-742-7796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "CHARLES",
"middle_name": "CHESLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "GA",
"license": "019807",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "D19807",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000260246G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000260246H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000260246J",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000260246I",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "915875",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000260246K",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.