Active NPI
Elizabeth Wilson, D.O.
- Obstetrics & Gynecology Physician
- Foley, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS21802
- Practice address
- 1725 N McKenzie St
Foley, AL 36535-2249 - Phone
- (251) 943-2141
- Fax
- (251) 943-2846
- NPI assigned
- Apr 1, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO.1832 | AL | |
| Obstetrics & Gynecology Physician | 207V00000X | OS21802 | FL | Primary |
Addresses
Primary practice location
1725 N McKenzie St
Foley, AL 36535-2249
Mailing address
2546 SW 74TH Ter
Davie, FL 33317-7028
Phone (954) 475-5758
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253585 | Medicaid | AL | |
| 252633 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elizabeth.wilson.1@1599.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Nova Southeastern College of Osteo Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 N St Rd
Suite 7
Margate, FL 33063-5727
Phone (954) 974-0400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.97 of 100
- Quality
- 75.95
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.1832 | AL | MD | Obstetrics & Gynecology Physician |
| OS21802 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Florida Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Foley Clinic Corp | Past | Accepting new patients | |
| Foley Hospital Company LLC | Past | Accepting new patients |
Locations
3476 S University Dr
Davie, FL 33328
Phone (954) 452-2107
2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041
3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873
1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401
12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
Interoperability endpoints
- elizabeth.wilson.1@1599.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Pediatric Cardiology Physician
- Sunrise, FL
- NPI 1083711790
Obstetrics & Gynecology
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1659374155
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida University Hospital
- General Acute Care Hospital
- Davie, FL
- NPI 1871182956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1083077507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2546 SW 74TH TER",
"city": "DAVIE",
"state": "FL",
"postal_code": "333177028",
"telephone_number": "954-475-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 N MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352249",
"telephone_number": "251-943-2141",
"fax_number": "251-943-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ELIZABETH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "DO.1832",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS21802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253585",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252633",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elizabeth.wilson.1@1599.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "1725 N McKenzie St",
"city": "Foley",
"state": "AL",
"country_code": "US",
"postal_code": "365352249",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.