Individual provider Active NPI

Michelle E Wilkinson, MD

  • Family Medicine Physician
  • Gastonia, NC
National Provider Identifier
1033141114
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9700808 Issued in NC
Practice address
3302 S New Hope Rd Ste 100E
Gastonia, NC 28056-8317
Phone
(704) 879-4936
Fax
(908) 225-0492
NPI assigned
Jul 7, 2006
Last updated
Oct 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9700808 NC Primary

Addresses

Primary practice location

3302 S New Hope Rd Ste 100E
Gastonia, NC 28056-8317

Mailing address

3302 S New Hope Rd Ste 100E
Gastonia, NC 28056-8317
Phone (704) 879-4936

Other identifiers 1

IdentifierTypeStateIssuer
891049YMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9700808NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integritas Wellness and Hormone Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1033141114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 S NEW HOPE RD STE 100E",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568317",
            "telephone_number": "704-879-4936",
            "fax_number": "980-225-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 S NEW HOPE RD STE 100E",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568317",
            "telephone_number": "704-879-4936",
            "fax_number": "908-225-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "MICHELLE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9700808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891049Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.