Active NPI
James Alan Wilson, MD
- Surgery Physician
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 038130
- Practice address
- 1825 Martha Berry Blvd NW
Rome, GA 30165-1625 - Phone
- (762) 235-2100
- Fax
- (706) 236-6432
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 038130 | GA | Primary |
Addresses
Primary practice location
1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Mailing address
221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Mercer University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000
Hospital & facility affiliations
- Atrium Health Floyd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbin Clinic, LLC | Current | Accepting new patients | |
| Cooperative Healthcare Services Inc | Surgery | Current | Accepting new patients |
| Harbin Clinic, LLC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County Georgi | Current | Accepting new patients | |
| Harbin Clinic, LLC | Current | Accepting new patients | |
| Floyd Physicians, LLC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Current | Accepting new patients |
Locations
603 Wheat Ave
Ste 500
Bainbridge, GA 39819
Phone (229) 227-1595
1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073
221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000
330 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 802-2000
101 Redmond Rd NW
Rome, GA 30165
Phone (706) 290-1330
2040 Dan Proctor Dr
Ste 120
Saint Marys, GA 31558
Phone (912) 540-6760
2040 Dan Proctor Dr
Ste 210
Saint Marys, GA 31558
Phone (866) 403-3376
Interoperability endpoints
- jwilson913721@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 7
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.
-
- Neonatal-Perinatal Medicine Physician
- Rome, GA
- NPI 1992814586
-
- Multi-Specialty Clinic/Center
- Rome, GA
- NPI 1679599088
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Ambulatory Surgical Clinic/Center
- Rome, GA
- NPI 1447385158
-
- Ambulatory Surgical Clinic/Center
- Cartersville, GA
- NPI 1467016055
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1548788771
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1669441903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 TECHNOLOGY PKWY NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651369",
"telephone_number": "762-235-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 MARTHA BERRY BLVD NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651625",
"telephone_number": "762-235-2100",
"fax_number": "706-236-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JAMES",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "038130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.