Individual provider Active NPI

James Edward Wood III, M.D.

  • Nephrology Physician
  • Charlotte, NC
National Provider Identifier
1770549735
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
97-01663 Issued in NC
Practice address
1144 Linganore PL
Charlotte, NC 28203-5250
Phone
(704) 650-3818
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301106573 MI
Internal Medicine Physician 207R00000X 9701663 NC
Internal Medicine Physician 207R00000X 036137265 IL
Internal Medicine Physician 207R00000X 28376 NE
Internal Medicine Physician 207R00000X 250551 NY
Internal Medicine Physician 207R00000X 25MA09897100 NJ
Internal Medicine Physician 207R00000X 35.092862 OH
Internal Medicine Physician 207R00000X 44270 AZ
Internal Medicine Physician 207R00000X 38753 CT
Internal Medicine Physician 207R00000X 01076806A IN
Internal Medicine Physician 207R00000X ME118385 FL
Internal Medicine Physician 207R00000X N3392 TX
Internal Medicine Physician 207R00000X 0101258387 VA
Nephrology Physician 207RN0300X 97-01663 NC Primary

Addresses

Primary practice location

1144 Linganore PL
Charlotte, NC 28203-5250

Mailing address

1144 Linganore PL
Charlotte, NC 28203-5250
Phone (704) 650-3818

Other practice location 1

9005 Overlook Blvd Ofc 110
Brentwood, TN 37027-5269
Phone (888) 553-2823

Other practice location 2

5851 Legacy Cir Fl 6
Plano, TX 75024-5966
Phone (888) 553-2823

Other practice location 3

600 Superior Ave E Ste 1300
Cleveland, OH 44114-2654
Phone (888) 553-2823

Other practice location 4

5680 King Centre Dr Ste 600
Alexandria, VA 22315-5755
Phone (888) 553-2823

Other practice location 5

169 Madison Ave Ste 2817
New York, NY 10016-5101
Phone (888) 553-2823

Other practice location 6

28 Valley Rd Ofc 229
Montclair, NJ 07042-2709
Phone (888) 553-2823

Other practice location 7

1299 Farnam St Ste 300
Omaha, NE 68102-1857
Phone (888) 553-2823

Other practice location 8

333 N Alabama St Ste 350
Indianapolis, IN 46204-2275
Phone (888) 553-2823

Other practice location 9

50 S Main St Ste 260
Naperville, IL 60540-5485
Phone (888) 553-2823

Other practice location 10

100 S Ashley Dr Ste 600
Tampa, FL 33602-5300
Phone (888) 553-2823

Other practice location 11

263 Tresser Blvd Ofc 961B
Stamford, CT 06901-3236
Phone (888) 553-2823

Other practice location 12

8825 N 23rd Ave Ste 100
Phoenix, AZ 85021-4148
Phone (888) 553-2823

Other practice location 13

2723 S State St Ste 150
Ann Arbor, MI 48104-6188
Phone (888) 553-2823

Other identifiers 12

IdentifierTypeStateIssuer
0437813MedicaidOH
0845809MedicaidNJ
802532OtherNCPARTNERS
1770549735MedicaidMI
IN5936001MedicaidIN
N01663MedicaidSC
120555800MedicaidFL
89133M1MedicaidNC
30017814120001MedicaidVA
561550231EOtherNCCIGNA
133M1OtherNCBCBSNC
36137265MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NJ, NE, OH, TX, TN, AZ, IN, DC, FL, CT, IL, GA, MI14 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 14

Enrollment IDStateProvider typePAC IDDetails
I20210311001192 KY Practitioner - Nephrology 8022036888
I20210316000716 NJ Practitioner - Nephrology 8022036888 Reassigns benefits to 1 organization
I20210825002612 NE Practitioner - Internal Medicine 8022036888 Reassigns benefits to 1 organization
I20211014002261 OH Practitioner - Internal Medicine 8022036888 Reassigns benefits to 1 organization
I20211103001373 TX Practitioner - Internal Medicine 8022036888 Reassigns benefits to 1 organization
I20220411001096 TN Practitioner - Internal Medicine 8022036888 Reassigns benefits to 1 organization
I20230801001728 AZ Practitioner - Internal Medicine 8022036888 Reassigns benefits to 1 organization
I20230811001823 IN Practitioner - Internal Medicine 8022036888 Reassigns benefits to 1 organization
I20230817000989 DC Practitioner - Internal Medicine 8022036888 Reassigns benefits to 1 organization
I20230901002983 FL Practitioner - Internal Medicine 8022036888 Reassigns benefits to 1 organization
I20240212004054 CT Practitioner - Internal Medicine 8022036888 Reassigns benefits to 1 organization
I20240228003576 IL Practitioner - Internal Medicine 8022036888 Reassigns benefits to 1 organization
I20240318000108 GA Practitioner - Internal Medicine 8022036888 Reassigns benefits to 1 organization
I20240503000548 MI Practitioner - Internal Medicine 8022036888 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9701663NCMDInternal Medicine Physician
250551NYMDInternal Medicine Physician
35.092862OHMDInternal Medicine Physician
97-01663NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careathome Medical Practice Ky Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Careathome Medical Practice NJ Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Southeast Renal Associates PA Past Accepting new patients

Locations

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

263 Tresser Blvd
Ofc 961B
Stamford, CT 06901

1372 Peachtree St NE
Ofc 218
Atlanta, GA 30309

50 S Main St
Ste 260
Naperville, IL 60540

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

2333 Alexandria Dr
Ste 509
Lexington, KY 40504
Phone (917) 410-7931

2723 S State St
Ste 150
Ann Arbor, MI 48104
Phone (734) 316-7880

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

287 Park Ave S
Fl 3
New York, NY 10010
Phone (917) 410-7931

600 Superior Ave
Ste 1300
Cleveland, OH 44114
Phone (216) 373-2659

9005 Overlook Blvd
Brentwood, TN 37027
Phone (615) 733-4651

5851 Legacy Cir
Fl 6
Plano, TX 75024
Phone (214) 843-1904

5851 Legacy Cir
Ste 6
Plano, TX 75024

Organizations & group practices 4

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.

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            "address_1": "1299 Farnam St Ste 300",
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            "country_name": "United States",
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            "address_1": "333 N Alabama St Ste 350",
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            "city": "Indianapolis",
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            "fax_number": "888-553-2823",
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        {
            "address_1": "50 S Main St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605405485",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "fax_number": "888-553-2823",
            "country_name": "United States",
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            "address_1": "100 S Ashley Dr Ste 600",
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    "basic": {
        "last_name": "WOOD",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
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        "sole_proprietor": "NO",
        "sex": "M",
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        "certification_date": "2024-08-22",
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            "license": "250551",
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        },
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            "taxonomy_group": "",
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            "state": "NJ",
            "license": "25MA09897100",
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        },
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        },
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        },
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            "license": "38753",
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        },
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            "taxonomy_group": "",
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            "license": "01076806A",
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        },
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            "taxonomy_group": "",
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            "state": "FL",
            "license": "ME118385",
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        },
        {
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            "taxonomy_group": "",
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            "state": "TX",
            "license": "N3392",
            "primary": false
        },
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            "taxonomy_group": "",
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            "state": "VA",
            "license": "0101258387",
            "primary": false
        },
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        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
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            "identifier": "0437813",
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            "state": "FL"
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    ],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.