Wayne Vincent Wilson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33444 Issued in NC

Practice address

1232 Shiloh Church Rd
Hickory, NC 28601-7856

Phone

(828) 495-4445

Fax

(828) 495-4449

NPI assigned

Mar 3, 2006

Last updated

Dec 23, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1083681423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6115",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286036115",
            "telephone_number": "828-495-4445",
            "fax_number": "828-495-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 SHILOH CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286017856",
            "telephone_number": "828-495-4445",
            "fax_number": "828-495-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WAYNE",
        "middle_name": "VINCENT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "33444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8988499",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittni Leigh Ashton Wilson, FNP-C
• Jonathan P Wilson, DO
• Laura Wilson, FNP-C
• Melissa A Wilson, Q.P.
• Rachel Wilson
• Caroline Haas Windham, DPT
• Winding Willows Counseling PLLC
• Robert Windsor III, PHARMD
• Amber D Winebarger, BA
• Heber Grey Winfield III, M.D.

• Family Medicine Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.