Individual provider Active NPI

James Dewey Thacker Jr., M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Huntsville, AL
National Provider Identifier
1962564476
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
AL 13577 Issued in AL
Practice address
185 Chateau Drive
Suite 302
Huntsville, AL 35801-6012
Phone
(256) 885-1605
Fax
(256) 885-1905
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 40660 CO
Pain Medicine (Anesthesiology) Physician 207LP2900X AL 13577 AL Primary

Addresses

Primary practice location

185 Chateau Drive
Suite 302
Huntsville, AL 35801-6012

Mailing address

185 Chateau Dr SW Ste 302
Huntsville, AL 35801-7413
Phone (256) 858-1605

Other identifiers 1

IdentifierTypeStateIssuer
511-22515OtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120125000033 AL Practitioner - Interventional Pain Management 0446216725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Medical College of Georgia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntsville Pain Management, Inc.Group PAC ID 9032386537, 2 clinicians

Practice addresses (Care Compare)

185 Chateau Dr SW
Suite 302
Huntsville, AL 35801-7413
Phone 2568851605103

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AL 13577ALMDPain Medicine (Anesthesiology) Physician
40660COMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Pain Management, Inc. CurrentSince Jan 2, 2012 Accepting new patients
Rocky Mountain Pain Relief Center PastSince Jun 24, 2005 Accepting new patients
Centeno-Schultz, Inc Pain Medicine PastSince Oct 13, 2005 Accepting new patients
Christopher J Centeno, MD, PC Pain Medicine Past Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients
Comprehensive Anesthesia Services PC PastSince Jun 26, 2022 Accepting new patients
Huntsville Spine and Rehab Past Accepting new patients
Advanced Health Management, LLC Past Accepting new patients

Locations

185 Chateau Dr SW
Ste 302
Huntsville, AL 35801
Phone (256) 489-8600

Interoperability endpoints

  • Direct secure messaging: james.thacker@hsvpain.gwaydirect.com
  • Direct secure messaging: james.thacker.1@32676.direct.athenahealth.com

Organizations & group practices 8

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 1

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1962564476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CHATEAU DR SW STE 302",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017413",
            "telephone_number": "256-858-1605",
            "fax_number": "256-885-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CHATEAU DRIVE",
            "address_2": "SUITE 302",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016012",
            "telephone_number": "256-885-1605",
            "fax_number": "256-885-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "JAMES",
        "middle_name": "DEWEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "40660",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "AL 13577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-22515",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.