NPIMap

Individual provider Active NPI

James J Wang, MD

  • Neurology Physician
  • Memphis, TN
National Provider Identifier
1619945532
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD0000030878 Issued in TN
Practice address
5100 Sanderlin Ave Ste 2100
Memphis, TN 38117-4387
Phone
(901) 820-0141
Fax
(901) 820-0144
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD0000030878 TN Primary

Addresses

Primary practice location

5100 Sanderlin Ave Ste 2100
Memphis, TN 38117-4387

Mailing address

PO Box 1000
Dept 479
Memphis, TN 38148-0479
Phone (901) 725-0421

Other identifiers 4

IdentifierTypeStateIssuer
00126261MedicaidMS
13848800MedicaidAR
130020264OtherRAILROAD MCARE
3838091MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040713001491 TN Practitioner - Neurology 7214915370 Reassigns benefits to 1 organization
I20200521002490 MS Practitioner - Neurology 7214915370

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Neurology PLLCGroup PAC ID 1355449737, 4 clinicians

Practice addresses (Care Compare)

5100 Sanderlin Ave
Suite 2100
Memphis, TN 38117-4387
Phone (901) 820-0141

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183

Merit-based Incentive Payment System (MIPS)

Final score
84.23 of 100Reported as group
Quality
55.38
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000030878TNMDNeurology Physician

Interoperability endpoints

  • Direct secure messaging: jwang28011@mlh.direct-ci.com
  • Direct secure messaging: jameswang@tsn.directglo.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1619945532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 479",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480479",
            "telephone_number": "901-725-0421",
            "fax_number": "901-278-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 SANDERLIN AVE STE 2100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174387",
            "telephone_number": "901-820-0141",
            "fax_number": "901-820-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JAMES",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD0000030878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126261",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13848800",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE",
            "identifier": "130020264",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3838091",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.