Active NPI
James M Wills, MD
- Nuclear Radiology Physician
- Beckley, WV
National Provider Identifier
1083674238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- 12016
- Practice address
- 275 Dry Hill Road
Beckley, WV 25801 - Phone
- (304) 253-6060
- Fax
- (304) 929-2248
- NPI assigned
- Mar 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 12016 | WV | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 12016 | WV |
Addresses
Primary practice location
275 Dry Hill Road
Beckley, WV 25801
Mailing address
275 Dry Hill Road
Beckley, WV 25801
Phone (304) 253-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123862000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12016 | WV | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centra Medical Group Southside, LLC | Past | Accepting new patients | |
| Farmville Medical Imaging, PLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Farmville, VA
- NPI 1477645182
-
- Family Medicine Physician
- Farmville, VA
- NPI 1841479565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1083674238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 DRY HILL ROAD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "25801",
"telephone_number": "304-253-6060",
"fax_number": "304-929-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 DRY HILL ROAD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "25801",
"telephone_number": "304-253-6060",
"fax_number": "304-929-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "WV",
"license": "12016",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "12016",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123862000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.