Individual provider Active NPI

James Gabriel Collins, M.D.

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1861650343
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019-00754 Issued in NC
Practice address
13425 Hoover Creek Blvd
Ste 100
Charlotte, NC 28273-0054
Phone
(704) 316-2080
NPI assigned
May 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 077183 GA
Family Medicine Physician 207Q00000X 2019-00754 NC Primary

Addresses

Primary practice location

13425 Hoover Creek Blvd
Ste 100
Charlotte, NC 28273-0054

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

13425 Hoover Creek Blvd Ste 100
Charlotte, NC 28273-0170
Phone (704) 316-2080

Other names 1

  • James Gabriel Lopez Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcollins722739@direct.novanthealth.org

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
I20190826001678 NC Practitioner - Family Practice 3779745260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

13425 Hoover Creek Blvd
Suite 100
Charlotte, NC 28273-0054
Phone (704) 316-2080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
077183GAMDFamily Medicine Physician
2019-00754NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince May 1, 2019 Accepting new patients
University Health Care Physicians LLC Family Medicine Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 1, 2019 Accepting new patients
University Prompt Care Current Accepting new patients
University Primary Care Current Accepting new patients
University Medical Group LLC Family Medicine Current Accepting new patients

Locations

820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997

447 N Belair Rd
Ste 104
Evans, GA 30809
Phone (706) 854-2180

4321 University Pkwy
Ste 101
Evans, GA 30809
Phone (706) 774-7400

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

925 Branch Ct
Ste 101
Grovetown, GA 30813
Phone (706) 396-1199

925 Branch Ct
Ste 201
Grovetown, GA 30813
Phone (706) 288-3377

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

5815 Blakeney Park Dr
Ste 200B
Charlotte, NC 28277
Phone (704) 316-5080

13425 Hoover Creek Blvd
Ste 100
Charlotte, NC 28273
Phone (704) 316-2080

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1861650343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 HOOVER CREEK BLVD",
            "address_2": "STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282730054",
            "telephone_number": "704-316-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13425 Hoover Creek Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282730170",
            "country_code": "US",
            "telephone_number": "704-316-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JAMES",
        "middle_name": "GABRIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "077183",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-00754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcollins722739@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "4321 University Pkwy",
            "address_2": "Building 2, Suite 101",
            "city": "Evans",
            "state": "GA",
            "country_code": "US",
            "postal_code": "308093058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "LOPEZ",
            "middle_name": "GABRIEL",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.