James W Wilson Jr., MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

046013 Issued in GA

Practice address

210 E Derenne Ave
Savannah, GA 31405-6736

Phone

(912) 644-5300

Fax

(912) 644-5260

NPI assigned

Feb 10, 2006

Last updated

Jun 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Orthopedic Surgery

Education

University of North Carolina at Chapel Hill School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optim Orthopedics LLCGroup PAC ID 9931427002, 101 clinicians

Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians

Tattnall Hospital Company LLCGroup PAC ID 6204907124, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's Hospital - Savannah Hospital, Savannah, GA, CCN 110043
• Optim Medical Center - Tattnall Hospital, Reidsville, GA, CCN 111323

Merit-based Incentive Payment System (MIPS)

Final score

54.22 of 100Reported as group

Quality

71.46

Promoting interoperability

0

Improvement activities

40

Cost

59.28

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.wilson.1@16403.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1780077982

  Sports Medicine

  Medicare reassignment Care Compare group NPD
• Tattnall Hospital Company, LLC

  dba Optim Medical Center - Tattnall

  • Critical Access Hospital
  • Reidsville, GA
  • NPI 1790942381
  Medicare reassignment Care Compare group NPD
• Optim Orthopedics, LLC

  dba Optim Imaging

  • Body Imaging Physician
  • Savannah, GA
  • NPI 1669866778
  NPD
• Tattnall Hospital Company, LLC

  dba Optim Medical Center Tattnall Sylvania

  • Orthopaedic Surgery Physician
  • Sylvania, GA
  • NPI 1386455376
  NPD
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Richmond Hill, GA
  • NPI 1548653330

  Sports Medicine

  NPD (past)
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Midway, GA
  • NPI 1821639758
  NPD (past)
• Tattnall Hospital Company LLC

  dba Optim Medical Center-Tattnall Reidsville

  • Orthopaedic Surgery Physician
  • Reidsville, GA
  • NPI 1518613728
  NPD (past)
• Tattnall Hospital Company, LLC

  dba Optim Medical Center - Tattnall

  • Pain Medicine Physician
  • Hinesville, GA
  • NPI 1326409442
  NPD (past)
• Tattnall Hospital Company, LLC

  dba Optim Medical Center Tattnall Swainsboro

  • Physical Medicine & Rehabilitation Physician
  • Swainsboro, GA
  • NPI 1467883892
  NPD (past)
• Tattnall Hospital Company, LLC

  dba Optim Medical Center Tattnall Dublin

  • Internal Medicine Physician
  • Dublin, GA
  • NPI 1558878884
  NPD (past)
• Tattnall Hospital Company, LLC

  dba Optim Medical Center Tattnall Baxley

  • Orthopaedic Surgery Physician
  • Baxley, GA
  • NPI 1588103592
  NPD (past)

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

• Saint Joseph's Hospital, Inc.

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1063406684
  Care Compare affiliation
• Tattnall Hospital Company, LLC

  dba Optim Medical Center - Tattnall

  • Critical Access Hospital
  • Reidsville, GA
  • NPI 1790942381
  Care Compare affiliation

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1508839416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E DERENNE AVENUE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E DERENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056736",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "GA",
            "license": "046013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antionette C Wilson, DDS
• Ashley Ritter Wilson, ANP
• Brooklyn Dallas Wilson, NP
• Candace L Wilson, MD
• Haley Wilson
• Jennifer Denette Wilson, LPC
• Megan Wilson, LMSW
• Michael Christopher Wilson, DMD
• Zachary Tyler Wilson, DO
• Zakeria Wimberly

• Sports Medicine (Orthopaedic Surgery) Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.