Individual provider Active NPI

Samuel Wilson, MD

  • Emergency Medicine Physician
  • Decatur, AL
National Provider Identifier
1083110514
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
44444 Issued in AL
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

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200728003332 OK Practitioner - Emergency Medicine 8729403423 Reassigns benefits to 1 organization
I20210827000685 GA Practitioner - Emergency Medicine 8729403423 Reassigns benefits to 1 organization
I20211020001911 TN Practitioner - Emergency Medicine 8729403423 Reassigns benefits to 1 organization
I20220615001117 AL Practitioner - Emergency Medicine 8729403423 Reassigns benefits to 1 organization

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
Decatur Morgan Emergency MedicineGroup PAC ID 0446680862, 24 clinicians

Practice addresses (Care Compare)

1201 7TH St NE
Decatur, AL 35601-3337
Phone (256) 973-2000

Hospital & facility affiliations

  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Jul 12, 2020 Accepting new patients
Chattanooga Emergency Medicine PLLC CurrentSince Jul 1, 2021 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jul 12, 2020 Accepting new patients
Decatur Morgan Emergency Medicine Emergency Medicine CurrentSince Jun 1, 2022 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.