Individual provider Active NPI

James Randall Wickham, M.D.

  • Psychiatry Physician
  • Harrisonburg, VA
National Provider Identifier
1740244615
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101046422 Issued in VA
Practice address
136 W Elizabeth St Ste 102
Harrisonburg, VA 22802-3855
Phone
(540) 564-5100
NPI assigned
Apr 17, 2006
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101046422 VA Primary

Addresses

Primary practice location

136 W Elizabeth St Ste 102
Harrisonburg, VA 22802-3855

Mailing address

2000 Health Park Dr FL HP2
Brentwood, TN 37027-4692
Phone (615) 373-7600

Other practice location 1

1906 Braeburn Dr
Salem, VA 24153-7304
Phone (540) 444-0460

Other practice location 2

1902 Braeburn Dr Ste 130
Salem, VA 24153-7304
Phone (540) 444-0460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JAMES.WICKHAM@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110208001093 VA Practitioner - Psychiatry 7517147523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Virginia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis Gale Physicians LLCGroup PAC ID 6507886231, 191 clinicians

Practice addresses (Care Compare)

1906 Braeburn Dr
Salem, VA 24153-7304
Phone (540) 772-3482

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Jul 1, 2024 Accepting new patients
RMH Medical Group LLC CurrentSince Jan 1, 2016 Accepting new patients

Locations

136 W Elizabeth St
Ste 102
Harrisonburg, VA 22802
Phone (540) 564-5100

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1740244615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR FL HP2",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W ELIZABETH ST STE 102",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228023855",
            "telephone_number": "540-564-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Braeburn Dr",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537304",
            "country_code": "US",
            "telephone_number": "540-444-0460",
            "fax_number": "540-444-0479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1902 Braeburn Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537304",
            "country_code": "US",
            "telephone_number": "540-444-0460",
            "fax_number": "540-444-0479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKHAM",
        "first_name": "JAMES",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101046422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JAMES.WICKHAM@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1902 Braeburn Dr Ste 130",
            "city": "Salem",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241537304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.