James R Qualls, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P0656 Issued in TX

Practice address

1505 State Highway 19 S
Athens, TX 75751-8950

Phone

(903) 675-1725

NPI assigned

Jun 10, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Traditions Health Home health agency, Tyler, TX, CCN 457951
• Pathfinder Home Health Home health agency, Athens, TX, CCN 453144
• Vitalcaring Group Home health agency, Sulphur Springs, TX, CCN 679076
• Cedar Lake Home Health and Hospice Home health agency, Malakoff, TX, CCN 457582
• Christus Homecare Home health agency, Palestine, TX, CCN 747664
• Heart to Heart Hospice of Tyler LTD Hospice, Tyler, TX, CCN 451756
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
• Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jqualls108561@christushealth.direct-ci.net

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.

• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment Care Compare group NPD
• Mother Frances Hospital Jacksonville

  • Critical Access Hospital
  • Jacksonville, TX
  • NPI 1952306672
  Medicare reassignment
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Fannin County Hospital Authority

  • Skilled Nursing Facility
  • Athens, TX
  • NPI 1447244116
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Athens Hospital, LLC

  • General Acute Care Hospital
  • Athens, TX
  • NPI 1417465824
  Care Compare affiliation
• Cedar Lake Nursing Services, Inc

  • Home Health Agency
  • Trinidad, TX
  • NPI 1851354039
  Care Compare affiliation
• Heart to Heart Hospice of Tyler LTD

  • Community Based Hospice Care Agency
  • Tyler, TX
  • NPI 1376514299
  Care Compare affiliation
• LHC Onalaska Home Health I, LLC

  • Home Health Agency
  • Palestine, TX
  • NPI 1275389439
  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation
• Northeast Texas Home Health Agency, LTD

  • Home Health Agency
  • Sulphur Springs, TX
  • NPI 1467591032
  Care Compare affiliation
• Star Care, LLP

  • Home Health Agency
  • Athens, TX
  • NPI 1316950140
  Care Compare affiliation
• Traditions Health Care of Tyler, LLC

  • Home Health Agency
  • Tyler, TX
  • NPI 1447448980
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1407141120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MEDICAL CIR",
            "address_2": "SUITE 100",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757519124",
            "telephone_number": "903-675-5744",
            "fax_number": "903-675-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 STATE HIGHWAY 19 S",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757518950",
            "telephone_number": "903-675-1725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Medical Cir",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757519124",
            "country_code": "US",
            "telephone_number": "903-675-5744",
            "fax_number": "903-675-5677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0656",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10038570",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1L8412",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P02604877",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324380002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca A Powell, FNP-C
• Tara V Price, COTA
• Danny P Pugh, MD
• Andrew Pulley, P.T
• Celie K Pyle, FNP
• Malcolm Randall Quattlebaum
• Dwight Carl Rampley, RPH
• Pradeep Rapalli, PT
• Perry A Rathbun, CRNA
• Sarah Grace Ratliff, DO

• Family Medicine Physician in Athens, TX
• Providers in Athens, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.