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

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

Other identifiers 3

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, 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 and National Provider Directory roles.

• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1780077982

  GA, Sports Medicine

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

  • Critical Access Hospital
  • Reidsville, GA
  • NPI 1790942381

  GA

  Medicare reassignment Care Compare group NPD
• Optim Orthopedics, LLC

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

  Sports Medicine

  Care Compare group NPD (past)
• Effingham Rehab Services, LLC

  • Rehabilitation Clinic/Center
  • Pooler, GA
  • NPI 1124541685
  Care Compare group
• Effingham Rehab Services, LLC

  • Rehabilitation Clinic/Center
  • Kingsland, GA
  • NPI 1780264994
  Care Compare group
• Effingham Rehab Services, LLC

  • Rehabilitation Clinic/Center
  • Jesup, GA
  • NPI 1831782887
  Care Compare group
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1053704254
  Care Compare group
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Vidalia, GA
  • NPI 1386038057
  Care Compare group
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Jesup, GA
  • NPI 1467845404
  Care Compare group
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Brunswick, GA
  • NPI 1487047726
  Care Compare group
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Rincon, GA
  • NPI 1730573841
  Care Compare group
• Optim Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Statesboro, GA
  • NPI 1801280664
  Care Compare group

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

  Hospital

  Care Compare affiliation
• Tattnall Hospital Company, LLC

  • Critical Access Hospital
  • Reidsville, GA
  • NPI 1790942381

  Hospital

  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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000795825G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G46013",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00795825A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Ritter Wilson, ANP
• Brooklyn Dallas Wilson, NP
• Candace L Wilson, MD
• Carley Ann Wilson
• Haley Wilson
• Jennifer Denette Wilson, LPC
• Laura Wilson
• Megan Wilson, LMSW
• Michael Christopher Wilson, DMD
• Zachary Tyler Wilson, DO

• All providers in Savannah, GA
• 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.