James Travis Colwell, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2564 Issued in NC

Practice address

2800 Ashton Drive
Suite 100
Wilmington, NC 28412-2486

Phone

(910) 794-8892

Fax

(910) 794-8895

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Coastal Rehabilitation Associates

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Wilmington, NC
  • NPI 1851348981
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982717260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ASHTON DRIVE",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122486",
            "telephone_number": "910-794-8892",
            "fax_number": "910-794-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ASHTON DRIVE",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122486",
            "telephone_number": "910-794-8892",
            "fax_number": "910-794-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLWELL",
        "first_name": "JAMES",
        "middle_name": "TRAVIS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000326",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Edward Collins Jr., C.O.
• Samuel Brown Collins, MD
• Taylor Nicole Collins, LCSWA
• Nadya Colosimo, DPT
• Columbus Hospitalists P.a
• Shawn Thomas Colwell, RNFA
• Gary N Combs, CRNA
• Jamie M Combs, CRNA
• Come As You Are Counseling & Therapy, PLLC
• Community Care of the Lower Cape Fear Inc

• Clinical Psychologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.