Individual provider Active NPI

Emmett Earl Wilkerson, MD

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1174553200
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41155 Issued in TN
Practice address
2464 Old Fort Pkwy
Murfreesboro, TN 37128-4163
Phone
(615) 410-3137
Fax
(615) 410-3427
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 41155 TN
Family Medicine Physician 207Q00000X 41155 TN Primary

Addresses

Primary practice location

2464 Old Fort Pkwy
Murfreesboro, TN 37128-4163

Mailing address

16 Brentshire SQ
Jackson, TN 38305-2203
Phone (731) 664-0994

Other identifiers 9

IdentifierTypeStateIssuer
188282OtherTNUNISON
626001636OtherTNUNITED HEALTHCARE
9396704OtherTNCIGNA
626001636OtherTNUSA MANAGED CARE
10025647OtherTNUAHC
37939OtherTNTLC
3811270MedicaidTN
626001636OtherTNBAPTIST HEALTH SERVICE GR
4130301OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060821000062 TN Practitioner - Addiction MedicinePractitioner - PsychiatryPractitioner - Emergency MedicinePractitioner - Family Practice 3274521372 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Staffing Solutions Inc CurrentSince Jan 1, 2012 Accepting new patients
Recovery Now, LLC CurrentSince May 9, 2025 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Greeneville Emergency Physicians Medical Group PC Past Accepting new patients
Family Practice Foundation of the Brazos Valley Family Medicine Past Accepting new patients
Emergency Coverage, LLC Family Medicine Past Accepting new patients
Texas a&M University System Health Science Center Family Medicine Past Accepting new patients
Emergency Medicine Fellowship, PLLC Past Accepting new patients
Caleb Creek Emergency Physicians, PLLC Past Accepting new patients
County of Hamilton PastSince Dec 12, 2023 Accepting new patients
Jellico Emergency Physicians Medical Group PC Past Accepting new patients

Locations

1816 Memorial Cir
Clarksville, TN 37043
Phone (615) 416-8010

481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586

1001 McArthur St
Manchester, TN 37355
Phone (931) 728-3586

4515 Harding Pike
Ste 327
Nashville, TN 37205
Phone (615) 416-8010

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1174553200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BRENTSHIRE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052203",
            "telephone_number": "731-664-0994",
            "fax_number": "731-664-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 OLD FORT PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284163",
            "telephone_number": "615-410-3137",
            "fax_number": "615-410-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "EMMETT",
        "middle_name": "EARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "TN",
            "license": "41155",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "41155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "188282",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "626001636",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9396704",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "626001636",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UAHC",
            "identifier": "10025647",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC",
            "identifier": "37939",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3811270",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BAPTIST HEALTH SERVICE GR",
            "identifier": "626001636",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4130301",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.