James A Wilde

MD | Pediatric Emergency Medicine | Male

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Complete Profile:

James A Wilde basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	James A Wilde
Credential :	MD
Gender :	Male

Business Address:

James A Wilde address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1120 15th St Augusta, GA, 30912-0004 United States
Phone Number :	706-721-4951
Fax Number :	706-721-7941

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1598876385
NPI Entity Type :	Individual
First Enrolment Date :	31 Aug, 2006
Last Updated On :	21 Feb, 2014

Medicare Participation:

James A Wilde participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1456416056
Medicare Enrollment ID :	I20090216000078
Primary Specialty :	Pediatric Medicine
Medical School :	Indiana University School Of Medicine
Graduation Year :	1984
Accepts Medicare?	Yes. James A Wilde accepts medicare insurance.

Group Practice Association:

James A Wilde is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which James A Wilde is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Au Medical Associates Emergency Medicine Billing Services, Llc	3072823186	48	1499 Walton Way Suite 1400 Augusta, GA - 309012603 Ph: 7067215505	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for James A Wilde are as mentioned. Primary taxonomy code for James A Wilde, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	046011	GA

Legacy Identifiers:

Other legacy medical identifiers of James A Wilde such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
000797574A	MEDICAID	GA
G46011	MEDICAID	SC

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1499 Walton Way, Ste 1400 Augusta, GA, 30901-2602 United States
Phone Number :	706-724-6100
Fax Number :	706-722-5187

Business Location:

Patients can refer following map for directions to James A Wilde practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.