Active NPI
Samuel Wilson, MD
- Emergency Medicine Physician
- Decatur, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 44444
- Practice address
- 1201 7TH St SE
Decatur, AL 35601-3337 - Phone
- (256) 423-2175
- NPI assigned
- Apr 3, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 44444 | AL | Primary |
| Emergency Medicine Physician | 207P00000X | 63891 | TN |
Addresses
Primary practice location
1201 7TH St SE
Decatur, AL 35601-3337
Mailing address
1201 7TH St SE
Decatur, AL 35601-3337
Phone (256) 423-2175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, GA, TN, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Alabama School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 7TH St NE
Decatur, AL 35601-3337
Phone (256) 973-2000
Hospital & facility affiliations
- Decatur Morgan Hospital - Decatur Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Chattanooga Emergency Medicine PLLC | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Decatur Morgan Emergency Medicine | Emergency Medicine | Current | Accepting new patients |
Locations
1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211
1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
Dept 1467
Tulsa, OK 74182
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
725 Glenwood Dr
Ste E487
Chattanooga, TN 37404
Phone (423) 697-0014
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Decatur, AL
- NPI 1316571615
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Emergency Care Clinic/Center
- Hixson, TN
- NPI 1427264126
-
- Clinic/Center
- Okmulgee, OK
- NPI 1326446188
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, AL
- NPI 1356692297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1083110514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 7TH ST SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013337",
"telephone_number": "256-423-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 7TH ST SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013337",
"telephone_number": "256-423-2175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SAMUEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-03",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "44444",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "63891",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.