James Adams Wainer, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

31754 Issued in NC

Practice address

1004 Dresser CT Ste 103
Raleigh, NC 27609-7325

Phone

(919) 831-5249

Fax

(919) 790-1521

NPI assigned

May 2, 2007

Last updated

Sep 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James a Wainer MD PA

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1629223409
  Authorized official Same address or phone

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1952523987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 DRESSER CT STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097325",
            "telephone_number": "919-831-5249",
            "fax_number": "919-790-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 DRESSER CT STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097325",
            "telephone_number": "919-831-5249",
            "fax_number": "919-790-1521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "867 Washington Street",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27605",
            "country_code": "US",
            "telephone_number": "919-833-5869",
            "fax_number": "919-833-5859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAINER",
        "first_name": "JAMES",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "31754",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "31754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85261",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott David Wagner, MD
• Sean Wagner, MD
• Victoria Wagoner
• Wasseem John Wahba, PA-C
• Mary Gray Wahl, RN
• Bruce V. Wainright, D.D.S.
• Ashton Wainwright
• Darthy Michelle Waiwaiole
• Wake Assisted Living
• Wake Behavioral & Human Services

• Child & Adolescent Psychiatry Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Child & Adolescent Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.