James C Wall Jr. (NPI# 1467538652, PAC ID# 6204801087) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1467538652 |
| PAC ID by PECOS | 6204801087 |
| Professional Enrollment ID | I20040826000953 |
| Full Name | James C Wall Jr. |
| Address |
518 W Main St C Smithville TN 37166-1100 |
| Phone Number | 6155974005 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440148 | DEKALB COMMUNITY HOSPITAL |
| 440151 | ST THOMAS RIVER PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 518 W Main St C, Smithville, TN 37166-1100 | 6155974005 |
| Street Address |
518 W MAIN ST C |
| City | SMITHVILLE |
| State | TN |
| Zip | 37166-1100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Doug Gibbons Hooper | Family Medicine | Saint Thomas Medical Partners | 520 W Main, Smithville, TN 37166 |
| Denise R Dingle | General Practice | Saint Thomas Medical Partners | 520 W Main, Smithville, TN 37166 |
| Jack Randall Rhody | Family Medicine | Saint Thomas Medical Partners | 520 W Main, Smithville, TN 37166 |
| William Hanford Sherwood | Family Medicine | Saint Thomas Medical Partners | 520 W Main, Smithville, TN 37166 |
| Kevin Ryan Rhody | Family Medicine | Saint Thomas Medical Partners | 520 W Main, Smithville, TN 37166 |
| Tinera Dawn Hutchins-conry | Nurse Practitioner | Saint Thomas Medical Partners | 520 W Main, Smithville, TN 37166 |
| Charles J Wray | Pulmonary Disease | Columbia Medical Group - The Frist Clinic Inc | 518 W Main St, Smithville, TN 37166-1100 |
| Kevin Malone | Chiropractic | 502 W Main St, Smithville, TN 37166-1118 | |
| Thomas White | Certified Registered Nurse Anesthetist (crna) | Webb Anesthesia Services Pllc | 520 W Main St, Smithville, TN 37166-1138 |
| Amy A Evans | Nurse Practitioner | Center Hill Medical, Pllc | 516 W Main St C, Smithville, TN 37166-1142 |
| Find all physicians in zip 37166 | |||
| City | SMITHVILLE |
| Zip Code | 37166 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | SMITHVILLE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on James C Wall Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.