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DR. JAMES HEATH WILDER MD
NPI 1508505629
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since May 27, 2022PECOS Enrolled
5547 GLENWILD AVE, MEMPHIS, TN 38119(901) 871-3261 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Heath Wilder Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES HEATH WILDER MD (NPI 1508505629) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508505629
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JAMES HEATH WILDERCredential: MD
Location Address5547 GLENWILD AVEMemphis, TN 38119-6011
Mailing Address5547 Glenwild AveMemphis, TN 38119-6011 · (901) 871-3261
Phone(901) 871-3261
Sole ProprietorNo
Enumeration DateMay 27, 2022
NPPES CertifiedMay 27, 2022
✔ NPI 1508505629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5547 GLENWILD AVE, Memphis, TN 38119
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Heath Wilder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA F WILDER FNP
Nurse Practitioner (Family)
5547 GLENWILD AVE
MEMPHIS, TN 38119
Shelby County (901) 857-8925
PAULA F WILDER
Registered Nurse
5547 GLENWILD AVE
MEMPHIS, TN 38119
Shelby County (901) 857-8925

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Wilder's NPI number?

The NPI number for James Wilder is 1508505629. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Where is James Wilder located?

James Wilder practices at 5547 Glenwild Ave, Memphis, TN 38119. The listed phone number is (901) 871-3261.

What is James Wilder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is James Wilder enrolled in Medicare?

Yes. James Wilder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Wilder was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.