Levi William Wilson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT002885 Issued in GA

Practice address

1575 N East Expy NE
Brookhaven, GA 30329-2401

Phone

(543) 740-4758

NPI assigned

Jun 25, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1164049136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 APPLE RIDGE 2",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305345140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N EAST EXPY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292401",
            "telephone_number": "543-740-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LEVI",
        "middle_name": "WILLIAM",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leontaye Williams, RBT
• Molly Padgett Williams, P.A.
• Selena Williams
• Christina Wilson, M.ED., CCC-SLP
• Grace Wilson, RBT
• Whitney Loriel Winston-Parker, DNP, APRN, FNP-BC
• Charles Winston, RBT
• Lynda Susan Wojno
• Courtney Wolfe
• Emily Wolfe, DMD

• Athletic Trainer in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.