Individual provider Active NPI

James D Worriax, MD

  • Family Medicine Physician
  • Wilmington, NC
National Provider Identifier
1740482108
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
122098 Issued in NC
Practice address
6132 Carolina Beach Rd
Suite 8
Wilmington, NC 28412-2788
Phone
(910) 794-4947
Fax
(910) 794-4943
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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 122098 NC Primary

Addresses

Primary practice location

6132 Carolina Beach Rd
Suite 8
Wilmington, NC 28412-2788

Mailing address

6132 Carolina Beach Rd
Suite 8
Wilmington, NC 28412-2788
Phone (910) 794-4947

Other identifiers 2

IdentifierTypeStateIssuer
1477NOtherNCBCBS
5908726MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080422000805 NC Practitioner - Family Practice 6103904776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Medical Clinic PLLCGroup PAC ID 6800183963, 10 clinicians
Masonboro Urgent Care, PCGroup PAC ID 9638206287, 4 clinicians

Practice addresses (Care Compare)

461 Western Blvd
Suite 122
Jacksonville, NC 28546-7637
Phone (910) 333-0283

6132 Carolina Beach Rd
Wilmington, NC 28412-2759
Phone (910) 794-4947

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122098NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Medical Clinic PLLC Family Medicine CurrentSince Aug 12, 2016 Accepting new patients
Masonboro Urgent Care, PC Family Medicine CurrentSince Oct 15, 2012 Accepting new patients

Locations

461 Western Blvd
Ste 122
Jacksonville, NC 28546
Phone (910) 333-0283

6132 Carolina Beach Rd
Ste 8
Wilmington, NC 28412
Phone (910) 612-3798

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10154/brand/1/csg/1/fhir/r4
  • Direct secure messaging: james.worriax.1@10154.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1740482108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 CAROLINA BEACH RD",
            "address_2": "SUITE 8",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122788",
            "telephone_number": "910-794-4947",
            "fax_number": "910-794-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 CAROLINA BEACH RD",
            "address_2": "SUITE 8",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122788",
            "telephone_number": "910-794-4947",
            "fax_number": "910-794-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORRIAX",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "122098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1477N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908726",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.