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Phone: (276) 236-5181 James Nuckolls is a fellow of the American College of Physicians who practices general Internal Medicine in Galax, Virginia and serves as Medical Director for the Carilion Medical Group centered in Roanoke, Virginia. The Carilion practice in Galax includes 6 internists, 6 family physicians, 2 family nurse practitioners, and 3 physician assistants. Born September 20, 1939 in Galax, Virginia, Dr. Nuckolls practices in his hometown and lives on a farm on the New River in Grayson County. He is married to Mary Lily Nuckolls and they have three grown children James, Stephen, and Faison. Dr. Nuckolls graduated from Davidson College in Davidson, North Carolina in 1961. He earned an MD in 1966 from Duke University Medical School in Durham, North Carolina. Dr. Nuckolls completed an internship in Internal Medicine at Duke University Medical Center in 1967, then served two years as Lieutenant Commander with the United States Public Health Service at the Center for Disease Control in Atlanta, Georgia. Dr. Nuckolls completed a three-year Internal Medicine residency at Duke University in 1972. Dr. Nuckolls completed a one year fellowship in Biomedical Ethics at the University of Virginia in 1992. He has practiced medicine in Galax since completing his residency training at Duke. Since 1995, Dr. Nuckolls has been Clinical Assistant Professor of Internal Medicine with the University of Virginia School of Medicine. In the past, he was Instructor in Medicine with Emory University School of Medicine (1967-69) and Associate Professor of Clinical Medicine with Duke University (1978-1992). He is an experienced preceptor for resident physicians and medical students. Nuckolls has chaired the National Advisory Committee for the Robert Wood Johnson Foundation's Physician's Initiative to Expand Care for Under Served Americans since 1993. He has served on the Board of Directors for the Virginia Healthcare Foundation since 1997. Dr. Nuckolls is a member of the Board of Directors for Carilion Health System. In the past, he served as a member of the board of directors for several other organizations the Virginia State Wide Area Health Education Center (AHEC), the Southwest Virginia AHEC, the Virginia Healthcare Foundation, and the Virginia Bioethics Network.
Each physician in the practice has access to three examination rooms, a highly complex medical laboratory, standard x-ray facilities, and equipment for sonograms, continuous cardiac monitoring, EKGs, stress testing, bone density determination, and echocardiograms. There is an urgent care clinic on the premises open 7 days a week. Common procedures performed include basic dermatological surgeries and flexible sigmoidoscopies. The practice has had electronic medical records since 1994, Internet access, and a management information system that can track the number and diagnoses of patients seen by visiting residents. Carilion has sophisticated electronic systems for the maintenance of medical records, outcome-based quality assurance, physician productivity and ongoing clinical research studies.
Areas of major interest for Dr. Nuckolls include the practice of general Internal Medicine, electronic medical records in primary care delivery, clinical research, and organizing effective systems of health care. His personal interests include baseketball, horseback riding, fishing, and woodworking. Residents who train with Dr. Nuckolls may choose to stay in a number of area motels: Holiday Inn Express, Hampton Inn, Super 8, Knight's Inn, etc. Local citizens may offer room and board in their homes and there are some bed and breakfast inns in the region. GMEC can try to locate furnished apartments or houses for residents, but we cannot guarantee results because short term rentals are extremely difficult to secure in rural areas. Twin County Regional Hospital is a 141-bed acute care facility in Galax, Virginia. The hospital offers a standard range of services: emergency, inpatient and outpatient care, intensive care, surgery and anesthesia, obstetrics, radiology, imaging, cardiopulmonary, laboratory, nutrition, physical therapy, pharmacy, and home health. Specialists on active staff at Twin County represent the fields of Cardiology, Emergency Medicine, Family Practice, General Surgery, Internal Medicine, Neurology, Obstetrics & Gynecology, Ophthalmology, Orthopedics, Otolaryngology, Pathology, Pediatrics, Podiatry, Pulmonology, Radiology, and Urology. Named for a mountain wildflower, Galax is an independent city with a population of about 6,700 on the border between Carroll County (pop. 26,504) and Grayson County (pop. 16,278). Quiet hollows, pastured hills, and patches of dense forest characterize the local landscape. To the east, the land rises to the scenic heights of the Blue Ridge Mountains. To the west are more spectacular heights that are seldom seen - Mount Rogers, Whitetop, and Iron Mountain. Natural beauty surrounds this flower of the high country. Major elements of the economy are manufacturing industries, transfer payments (retirement pensions, disability income, and welfare benefits), retail trade and personal services. In 1995, the largest employers in the city were Hanes Printables (knit underwear), Consolidated Glass and Mirror, Webb Furniture, Vaughan Furniture, Vaughan Basset Furniture, Twin-County Regional Hospital, and Dixon Lumber. The Galax workforce includes about 8,500 people; almost 2,000 more people work in Galax than live there. Four lanes of US Highway 58 access Galax about 10 miles west
of an interchange with US Interstate 77. There are several shopping
centers in the city, replete with department stores, restaurants,
cinema screens, groceries, discount stores, and specialty boutiques.
Three outdoor recreation centers are within 30 miles of Galax
Grayson Highlands State Park, New River Trail State Park,
and the Mount Rogers National Recreation Area. These parks have
facilities for camping, picnicking, hiking, biking, swimming,
boating, fishing, hunting, and horseback riding. Mount Rogers
is the highest peak in Virginia.
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James Garland Nuckolls,
M.D., F.A.C.P.
Dr. Nuckolls sees patients in an office setting
on Mondays, Thursdays, and Fridays between 8:00 a.m. and 5:00 p.m. He
sees 20 to 25 patients a day. Of the 26,000 patients in the practice,
20% are pediatric, 30% adult, and 50% geriatric. About 50% of them are
covered by Medicare, 5% by Medicaid, and 45% by commercial carriers.
Less than 1% of the patients are uninsured.
Dr. Nuckolls has Medicine and ICU/CCU privileges
at Twin County Regional Hospital, a modern facility just across the
parking lot from his office. Together, he and his partners maintain
a hospital census of at least 30 patients. Dr. Nuckolls acts as medical director for three nursing homes Grayson Nursing and Rehabilitation
Center (120 beds), Laurel Meadows Nursing Home (60 beds), and Skyline Manor Nursing Home (60 beds) and Highland Ridge Rehabilitation Center (130 beds).