Jennifer Leigh Wilson, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN297501 Issued in GA

Practice address

4622 Battlefield Pkwy
Ringgold, GA 30736-8004

Phone

(423) 602-2750

Fax

(423) 602-2762

NPI assigned

Aug 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular Institute of Chattanooga, PLLCGroup PAC ID 1658671052, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.38 of 100Reported as individual

Quality

93.25

Improvement activities

40

Cost

75.59

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: wilson@direct.vic.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vascular Institute of Chattanooga, PLLC

  • Vascular & Interventional Radiology Physician
  • Chattanooga, TN
  • NPI 1205208352

  GA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1043644198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214907",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 BATTLEFIELD PKWY",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368004",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2358 Lifestyle Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214907",
            "country_code": "US",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "17797",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN297501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wilson@direct.vic.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4622 Battlefield Pkwy",
            "city": "Ringgold",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307368004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Savannah Michele Wilkey
• Charles Williams
• Morgan Lindsey Williams, ATC
• Savana Williams, LPC-MHSP
• Demetirus Legail Wilson
• Karan Wilson
• Lavona Constancia Wilson, NP
• Lacy Woods
• Rebecca Sue Woods, FNP
• Kelsey Elizabeth Wortman, DPT

• Nurse Practitioner in Ringgold, GA
• Providers in Ringgold, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.