Active NPI
Matthew Hunter Wilson, M.D., PH.D.
- Nephrology Physician
- Nashville, TN
National Provider Identifier
1073639886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 37400
- Practice address
- 1161 21St Ave S
MCN S-3223
Nashville, TN 37232-2372 - Phone
- (615) 873-6842
- NPI assigned
- Mar 22, 2007
- Last updated
- Mar 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | M7761 | TX | |
| Nephrology Physician | 207RN0300X | 37400 | TN | Primary |
Addresses
Primary practice location
1161 21St Ave S
MCN S-3223
Nashville, TN 37232-2372
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Other practice location 1
1310 24th Ave S
Nashville, TN 37212-2637
Phone (615) 873-7480
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwilson36251@direct.vumc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37400 | TN | MD | Nephrology Physician |
Interoperability endpoints
- mwilson36251@direct.vumc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1073639886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 21ST AVE S",
"address_2": "MCN S-3223",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372322372",
"telephone_number": "615-873-6842"
}
],
"practiceLocations": [
{
"address_1": "1310 24th Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372122637",
"country_code": "US",
"telephone_number": "615-873-7480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "MATTHEW",
"middle_name": "HUNTER",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "M7761",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "37400",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwilson36251@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "1161 21st Ave S",
"address_2": "MCN S-3223",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372322372",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.