NPIMap

Individual provider Active NPI

Dallas C Wilcox Jr., M.D.

  • Family Medicine Physician
  • Gadsden, AL
National Provider Identifier
1881696516
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17696 Issued in AL
Practice address
307 E Meighan Blvd
Gadsden, AL 35903-1048
Phone
(256) 543-2273
Fax
(256) 543-2293
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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 17696 AL Primary

Addresses

Primary practice location

307 E Meighan Blvd
Gadsden, AL 35903-1048

Mailing address

307 E Meighan Blvd
Gadsden, AL 35903-1048
Phone (256) 543-2273

Other identifiers 1

IdentifierTypeStateIssuer
51077710OtherALBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060718000222 AL Practitioner - Family Practice 9133132004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Care Physicians PCGroup PAC ID 2769451731, 5 clinicians

Practice addresses (Care Compare)

307 E Meighan Blvd
Gadsden, AL 35903-1048
Phone (256) 543-2273

307 Meighan Blvd E
Gadsden, AL 35903-1048

Hospital & facility affiliations

  • Prohealth Home Health, LLC Home health agency, Huntsville, AL, CCN 017178
  • Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
  • Centerwell Home Health Home health agency, Rainbow City, AL, CCN 017018
  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040
  • Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Care Physicians PC CurrentSince Mar 1, 1998 Accepting new patients
Lifehealth, P.C. Past Accepting new patients

Locations

307 E Meighan Blvd
Gadsden, AL 35903
Phone (256) 543-2273

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGAD
  • Direct secure messaging: dallas.wilcox@dcp.directbygreenway.com

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.

Hospital & facility affiliations 7

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1881696516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E MEIGHAN BLVD",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031048",
            "telephone_number": "256-543-2273",
            "fax_number": "256-543-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E MEIGHAN BLVD",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031048",
            "telephone_number": "256-543-2273",
            "fax_number": "256-543-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "DALLAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "17696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51077710",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.