Active NPI
James David Wilson, M.D.
- Family Medicine Physician
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N7188
- Practice address
- 2606 Hospital Blvd
Suite B
Corpus Christi, TX 78405-1833 - Phone
- (361) 902-4789
- Fax
- (361) 790-2458
- NPI assigned
- Feb 9, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N7188 | TX | Primary |
Addresses
Primary practice location
2606 Hospital Blvd
Suite B
Corpus Christi, TX 78405-1833
Mailing address
919 Hidden RDG
Irving, TX 75038-3813
Phone (469) 282-2711
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283878102 | Medicaid | TX | |
| 283878103 | Medicaid | TX | |
| P02601813 | Other | TX | MCRR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2606 Hospital Blvd
Corpus Christi, TX 78405-1804
600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7188 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Family Medicine | Current | Accepting new patients |
| Christus Spohn Health System Corporation | Past | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
2606 Hospital Blvd
Ste B
Corpus Christi, TX 78405
Phone (361) 861-1861
2601 Hospital Blvd
Ste 112
Corpus Christi, TX 78405
Phone (361) 883-3053
1415 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 861-9760
919 Hidden Rdg
Irving, TX 75038
1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- jwilson249087@christushealth.direct-ci.net
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
Organizations & group practices 6
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba CHRISTUS Physician Group
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
-
dba CHRISTUS Physician Group
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba CHRISTUS Spohn Hospital Corpus Christi
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS Spohn Hospital Corpus Christi
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1184920035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 HIDDEN RDG",
"city": "IRVING",
"state": "TX",
"postal_code": "750383813",
"telephone_number": "469-282-2711",
"fax_number": "469-282-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2606 HOSPITAL BLVD",
"address_2": "SUITE B",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784051833",
"telephone_number": "361-902-4789",
"fax_number": "361-790-2458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JAMES",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-09",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N7188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283878102",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283878103",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCRR",
"identifier": "P02601813",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.