Individual provider Active NPI

Charles Chesley Wells, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Macon, GA
National Provider Identifier
1053332841
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
019807 Issued in GA
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

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000260246GMedicaidGA
000260246HMedicaidGA
000260246JMedicaidGA
000260246IMedicaidGA
915875OtherBLUE CROSS
000260246KMedicaidGA

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
I20050121000066 GA Practitioner - Neurology 6103891965 Reassigns benefits to 1 organization

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
Sleep Practitioners, LLCGroup PAC ID 0042444242, 3 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
D19807GAMDNeurology Physician
019807GAMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Practitioners, LLC Neurology CurrentSince Sep 1, 2013 Accepting new patients
Neurology Associates LLP Neurology PastSince Jul 1, 2017 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/CACGAA
  • Direct secure messaging: charles.wells@smcg.eclinicaldirectplus.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.