Active NPI
James Gabriel Collins, M.D.
- Family Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2019-00754
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
13425 Hoover Creek Blvd
Suite 100
Charlotte, NC 28273-0054
Phone (704) 316-2080
Hospital & facility affiliations
- Centerwell Home Health
- Novant Health Presbyterian Medical Center
- Novant Health Ballantyne Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077183 | GA | MD | Family Medicine Physician |
| 2019-00754 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | 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 | Current | 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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Internal Medicine Physician
- Augusta, GA
- NPI 1568786192
Family Medicine
-
- Internal Medicine Physician
- Augusta, GA
- NPI 1124231808
-
- Urgent Care Clinic/Center
- Evans, GA
- NPI 1326132788
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1740998020
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
-
- Home Health Agency
- Gaffney, SC
- NPI 1891724555
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.