Individual provider Active NPI

James Reeder Girvin, MD

  • Psychiatry Physician
  • Westerville, OH
National Provider Identifier
1851302079
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35059425 Issued in OH
Practice address
700 Brooksedge Blvd
Westerville, OH 43081-2820
Phone
(614) 882-9338
Fax
(614) 882-3401
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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 35059425 OH Primary

Addresses

Primary practice location

700 Brooksedge Blvd
Westerville, OH 43081-2820

Mailing address

700 Brooksedge Blvd
Westerville, OH 43081-2820
Phone (614) 882-9338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ, GA3 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
I20111115000489 OH Practitioner - Psychiatry 1850565573 Reassigns benefits to 1 organization
I20240329002013 AZ Practitioner - Psychiatry 1850565573 Reassigns benefits to 1 organization
I20251006002380 GA Practitioner - Psychiatry 1850565573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

2540 Windy Hill Rd
Marietta, GA 30067-8605
Phone (770) 644-1570

2540 Windy Hill Serd
Marietta, GA 30067-8605
Phone (770) 644-1274

2550 Windy Hill Rd SE
Suite 220
Marietta, GA 30067-8605
Phone (404) 321-9900

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35059425OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifewell Behavioral Wellness CurrentSince Mar 20, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Lifewell Behavioral Wellness PastSince Jun 22, 2021 Accepting new patients
Sunbright Counseling, LLC Past Accepting new patients

Locations

6915 E Main St
Ste 200
Mesa, AZ 85207

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

10844 N 23rd Ave
Ste 100
Phoenix, AZ 85029
Phone (602) 208-2800

10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340

4451 E Oak St
Phoenix, AZ 85008
Phone (602) 957-2220

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Interoperability endpoints

  • Direct secure messaging: james.girvin.p1@direct.lifewell.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1851302079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BROOKSEDGE BLVD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812820",
            "telephone_number": "614-882-9338",
            "fax_number": "614-882-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BROOKSEDGE BLVD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812820",
            "telephone_number": "614-882-9338",
            "fax_number": "614-882-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRVIN",
        "first_name": "JAMES",
        "middle_name": "REEDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35059425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.