Individual provider Active NPI

James Caleb Wallwork, M.D.

  • Family Medicine Physician
  • Columbia, TN
National Provider Identifier
1821012998
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05380 Issued in TN
Practice address
1223 Hatcher LN
Columbia, TN 38401-3531
Phone
(931) 840-4200
Fax
(931) 840-5757
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 05380 TN Primary

Addresses

Primary practice location

1223 Hatcher LN
Columbia, TN 38401-3531

Mailing address

8237 Alamo Rd
Brentwood, TN 37027-7311
Phone (615) 370-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111103000166 TN Practitioner - Family PracticePractitioner - General Practice 7012180276 Practice locations: Columbia, TN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04705KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Emergency Services of the Midwest, Inc Past Accepting new patients
Charles R Tessier DO PC Family Medicine PastSince Apr 16, 2024 Accepting new patients

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821012998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8237 ALAMO RD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277311",
            "telephone_number": "615-370-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013531",
            "telephone_number": "931-840-4200",
            "fax_number": "931-840-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLWORK",
        "first_name": "JAMES",
        "middle_name": "CALEB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "05380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.