Active NPI
James Wall, MD
- Hematology & Oncology Physician
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 29993
- Practice address
- 100 Medical Park Dr
Ste 110
Concord, NC 28025-2948 - Phone
- (704) 403-6826
- NPI assigned
- Feb 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 29993 | NC | Primary |
Addresses
Primary practice location
100 Medical Park Dr
Ste 110
Concord, NC 28025-2948
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
945 N 5th St
Albemarle, NC 28001-3417
Phone (980) 323-7790
Other practice location 2
340 Jake Alexander Blvd W
Ste 101
Salisbury, NC 28147-1364
Phone (704) 403-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29993 | NC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Hematology & Oncology | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients |
Locations
945 N 5th St
Albemarle, NC 28001
Phone (980) 323-7790
920 Church St N
Concord, NC 28025
Phone (704) 403-3000
100 Medical Park Dr
Ste 110
Concord, NC 28025
Phone (704) 403-1370
8560 Cook St
Mt Pleasant, NC 28124
Phone (704) 403-1911
340 Jake Alexander Blvd W
Ste 101
Salisbury, NC 28147
Phone (704) 403-2777
Organizations & group practices 3
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 Levine Cancer Institute
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
dba Levine Cancer Institute
- Hematology (Internal Medicine) Physician
- Gastonia, NC
- NPI 1053805127
Hematology & Oncology
-
dba Atrium Health Pineville Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1447222187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL PARK DR",
"address_2": "STE 110",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252948",
"telephone_number": "704-403-6826"
}
],
"practiceLocations": [
{
"address_1": "945 N 5th St",
"address_purpose": "LOCATION",
"city": "Albemarle",
"state": "NC",
"postal_code": "280013417",
"country_code": "US",
"telephone_number": "980-323-7790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 Jake Alexander Blvd W",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281471364",
"country_code": "US",
"telephone_number": "704-403-4900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALL",
"first_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "29993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.