Individual provider Active NPI

Charles Alexander Wiles, MD

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1689171399
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42522 Issued in AL
Practice address
101 Memorial Hospital Dr Ste 200
Mobile, AL 36608-1787
Phone
(251) 414-5900
Fax
(251) 445-3090
NPI assigned
Apr 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 42522 AL Primary

Addresses

Primary practice location

101 Memorial Hospital Dr Ste 200
Mobile, AL 36608-1787

Mailing address

124 Du Rhu Dr Apt a
Mobile, AL 36608-1209
Phone (251) 604-6314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20210713000455 AL Practitioner - Internal Medicine 7214339324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Medical Group PCGroup PAC ID 6709152499, 42 clinicians

Practice addresses (Care Compare)

101 Memorial Hospital Dr
Suite 200
Mobile, AL 36608-1787
Phone (251) 414-5900

Hospital & facility affiliations

  • Saad Healthcare Home health agency, Mobile, AL, CCN 017025
  • Springhill Home Health and Hospice Home health agency, Mobile, AL, CCN 017066
  • Infirmary Homecare Home health agency, Mobile, AL, CCN 017035
  • Centerwell Home Health Home health agency, Mobile, AL, CCN 017168
  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42522ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Medical Group, PC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Internal Medicine Center Internal Medicine Current Accepting new patients

Locations

101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608
Phone (251) 414-3079

Interoperability endpoints

  • Direct secure messaging: charleswiles@amgmd.allscriptsdirect.net

Organizations & group practices 2

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 5

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1689171399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 DU RHU DR APT A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081209",
            "telephone_number": "251-604-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEMORIAL HOSPITAL DR STE 200",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081787",
            "telephone_number": "251-414-5900",
            "fax_number": "251-445-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILES",
        "first_name": "CHARLES",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "42522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.