Individual provider Active NPI

James W Wahl, DO

  • Family Medicine Physician
  • Fort Oglethorpe, GA
National Provider Identifier
1699039313
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83444 Issued in GA
Practice address
100 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3643
Phone
(706) 858-2000
Fax
(706) 858-2681
NPI assigned
Jun 27, 2012
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 83444 GA Primary

Addresses

Primary practice location

100 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3643

Mailing address

100 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3643
Phone (706) 858-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MI, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190828002766 GA Practitioner - Family Practice 4082837521 Reassigns benefits to 1 organization
I20250709000219 MI Practitioner - Family Practice 4082837521 Reassigns benefits to 1 organization
I20250828000052 TN Practitioner - Hospitalist 4082837521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Health Care PCGroup PAC ID 1254677719, shared by 2 NPIs, 9 clinicians
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

811 E Kent Rd
Greenville, MI 48838-9791
Phone (616) 358-2208

975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 266-1490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3762TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Health Care PC CurrentSince May 15, 2025 Accepting new patients
Erlanger Health Family Medicine CurrentSince Aug 4, 2025 Accepting new patients
Samaritan Health Care, PC Family Medicine CurrentSince May 15, 2025 Accepting new patients
Erlanger Health CurrentSince Aug 4, 2025 Accepting new patients
Memorial Health Partners Foundation Inc Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Memorial Health Partners Foundation, Inc Family Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606

833 Kenmoor Ave SE
Ste K
Grand Rapids, MI 49546
Phone (616) 358-2208

811 E Kent Rd
Greenville, MI 48838
Phone (616) 225-0202

1465 E Apple Ave
Muskegon, MI 49442
Phone (231) 246-8092

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: james.wahl.1@14399.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Life Health CareGreenville, MI, CCN 238940 Rural health clinic 5% Or Greater Direct Ownership Interest (5%)
Corporate Director (5%)
Mar 18, 2026
Mar 18, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1699039313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROSS CRESCENT CIR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423643",
            "telephone_number": "706-858-2000",
            "fax_number": "706-858-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROSS CRESCENT CIR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423643",
            "telephone_number": "706-858-2000",
            "fax_number": "706-858-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "83444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

Verify at the official NPI Registry.