Active NPI
Kathy Tingle Wilson, M.D.
- Pulmonary Disease Physician
- Conover, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 01566
- Practice address
- 3521 Graystone PL SE
Suite 202
Conover, NC 28613-8268 - Phone
- (828) 326-2660
- Fax
- (828) 326-2671
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 01566 | NC | Primary |
Addresses
Primary practice location
3521 Graystone PL SE
Suite 202
Conover, NC 28613-8268
Mailing address
PO Box 890273
Charlotte, NC 28289-0273
Phone (828) 326-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Mississippi School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2386 Springs Rd NE
Hickory, NC 28601-3066
Phone (828) 732-5400
50 Macedonia Church Rd a
Taylorsville, NC 28681-8414
Phone (828) 732-5300
Hospital & facility affiliations
- Catawba Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Valley Medical Group, Inc | Pulmonary Disease | Current | Accepting new patients |
| American Respiratory Specialist, LLC | Pulmonary Disease | Current | Accepting new patients |
| Catawba Valley Medical Group Inc | Current | Accepting new patients | |
| Catawba Valley Medical Group, Inc | Current | Accepting new patients | |
| Vicksburg Clinic LLC | Past | Accepting new patients | |
| Vicksburg Clinic LLC | Pulmonary Disease | Past | Accepting new patients |
Locations
200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377
3521 Graystone Pl SE
Ste 202
Conover, NC 28613
Phone (828) 326-2354
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
2386 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112
50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300
Interoperability endpoints
- kathy.wilson@cvmg.eclinicaldirectplus.com
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.
-
- Family Medicine Physician
- Catawba, NC
- NPI 1790062362
-
- Pulmonary Disease Physician
- Hickory, NC
- NPI 1154936193
-
- Ambulatory Surgical Clinic/Center
- Hickory, NC
- NPI 1659267359
-
- Pulmonary Disease Physician
- Hickory, NC
- NPI 1780094771
-
- Family Medicine Physician
- Vicksburg, MS
- NPI 1790711158
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1114095841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890273",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282890273",
"telephone_number": "828-326-2600",
"fax_number": "828-326-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 GRAYSTONE PL SE",
"address_2": "SUITE 202",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138268",
"telephone_number": "828-326-2660",
"fax_number": "828-326-2671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KATHY",
"middle_name": "TINGLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "01566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conover, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.