Organization Active NPI

H. James Wiesman , Jr, M.D.

  • Specialist
  • Columbia, TN
National Provider Identifier
1477743250
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD010397 Issued in TN
Legal business name
H. JAMES WIESMAN , JR, M.D.
Practice address
1412 Trotwood Ave Ste 82
Columbia, TN 38401-4982
Phone
(931) 388-3104
Fax
(931) 381-1096
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Ms. Jennifer Baker
Title
Office Manager
Phone
(931) 388-3104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD010397 TN Primary

Addresses

Primary practice location

1412 Trotwood Ave Ste 82
Columbia, TN 38401-4982

Mailing address

1412 Trotwood Ave Ste 82
Columbia, TN 38401-4982
Phone (931) 388-3104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100325000017 TN Part B Supplier - Clinic/Group Practice 3274677703 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, TN

National Provider Directory

National Provider Directory

Locations

1300 Trotwood Ave
Ste 1
Columbia, TN 38401
Phone (931) 388-3104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1477743250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 TROTWOOD AVE STE 82",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014982",
            "telephone_number": "931-388-3104",
            "fax_number": "931-381-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 TROTWOOD AVE STE 82",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014982",
            "telephone_number": "931-388-3104",
            "fax_number": "931-381-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. JAMES WIESMAN , JR, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-388-3104",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD010397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.