Christopher Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113008 Issued in FL

Practice address

3620 Azalea Dr
Destin, FL 32541-2395

Phone

(850) 450-8322

NPI assigned

May 28, 2020

Sex

Male

Sole proprietor

Yes

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 FL

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 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Hospital Hospital, Pensacola, FL, CCN 100093
• Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

Merit-based Incentive Payment System (MIPS)

Final score

81.01 of 100Reported as group

Quality

62.34

Promoting interoperability

95

Improvement activities

40

Cost

78.51

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Physician Assistant

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 and National Provider Directory roles.

• Baptist Medical Group LLC

  • Hematology & Oncology Physician
  • Pensacola, FL
  • NPI 1376779892
  Medicare reassignment Care Compare group NPD
• Baptist Medical Group LLC

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1629749692
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Care, Inc

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1700979465
  Care Compare affiliation
• Baptist Health Care, Inc.

  • General Acute Care Hospital
  • Gulf Breeze, FL
  • NPI 1972664530
  Care Compare affiliation

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1073136784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 AZALEA DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 AZALEA DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412395",
            "telephone_number": "850-450-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J White
• Annabelle Wilcox, LDO
• William M. Escoffery
• Tekequa Williams, LPN
• Whitney Renee Williams, LMHC
• Ryan Winters, PTA
• Sarah Wiseman, LMT
• Women'S Health of the Emerald Coast LLC
• Stephanie Worley, DPT, PT
• Louis Leon Yardley Jr., O.D.

• Physician Assistant in Destin, FL
• Providers in Destin, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.