Cynthia Irby Wilson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MMD.31950 Issued in SC

Practice address

8 Farmfield Ave Ste D
Charleston, SC 29407-7779

Phone

(843) 469-5641

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Alabama School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Park Dermatology LLCGroup PAC ID 8820453137, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Island Park Dermatology LLC

  • Dermatology Physician
  • Daniel Island, SC
  • NPI 1194436956
  Medicare reassignment Care Compare group NPD Authorized official
• Lowcountry Dermatology Associates

  • Dermatology Physician
  • Charleston, SC
  • NPI 1861518441
  Medicare reassignment NPD

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1003077363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FARMFIELD AVE STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077779",
            "telephone_number": "843-469-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FARMFIELD AVE STE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077779",
            "telephone_number": "843-469-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CYNTHIA",
        "middle_name": "IRBY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "MMD.31950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Willoughby, M.D.
• Lauren Wilseck
• Alison Wilson, CCC-SLP
• Bethany M Wilson, LMT
• Brittany E Wilson, DO
• Elena Mercedes Wilson
• Elizabeth Meade Wilson, PA-C
• Emily Grant Wilson, MD
• Erika Lynn Wilson
• Gloria Katherine Wilson, APRN

• Dermatology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.