Active NPI
James Haney Tunstall IV
- Counselor
- Winston Salem, NC
National Provider Identifier
1548931868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A17003
- Practice address
- 983 Mar Don Dr
Winston Salem, NC 27104-4624 - Phone
- (336) 923-7426
- NPI assigned
- Sep 27, 2021
- Last updated
- Sep 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | A17003 | NC | Primary |
Addresses
Primary practice location
983 Mar Don Dr
Winston Salem, NC 27104-4624
Mailing address
983 Mar Don Dr
Winston Salem, NC 27104-4624
Phone (336) 923-7426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 3, 2024 through Jan 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A17003 | NC | MD | Counselor |
| 17003 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1548931868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "983 MAR DON DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044624",
"telephone_number": "336-923-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 MAR DON DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044624",
"telephone_number": "336-923-7426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNSTALL",
"first_name": "JAMES",
"middle_name": "HANEY",
"name_suffix": "IV",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A17003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
- Allison Griffin Tullos, PHARMD
- Katherine A Tully, PT
- Tunnel Road Optometry Group (Jefferson Village Eye Care)
- Tunnel Road Optometry Group OD PA (Davis Eye Kernersville)
- Megan Wheeler Tunnell, PHARMD
- Christopher John Tuohy, MD
- Jovan Turnage
- Turner Life Chiropractic Clinic
- Adam Scott Turner, MD
- Alison Turner, LCMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.