Individual provider Active NPI

Eric M Wilson, MD

  • Surgery Physician
  • Greensboro, NC
National Provider Identifier
1174604342
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
201000545 Issued in NC
Practice address
1002 N Church St
Ste 302
Greensboro, NC 27401
Phone
(336) 387-8100
Fax
(336) 387-8202
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 201000545 NC Primary

Addresses

Primary practice location

1002 N Church St
Ste 302
Greensboro, NC 27401

Mailing address

1002 N Church St
Ste 302
Greensboro, NC 27401
Phone (336) 387-8100

Other identifiers 1

IdentifierTypeStateIssuer
5914536MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100714000424 NC Practitioner - General Surgery 0547392342 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical University of South Carolina College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

1002 N Church St
Greensboro, NC 27401-1439
Phone (919) 684-8111

171 Fairview Rd
Mooresville, NC 28117-9500
Phone (704) 660-4000

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201000545NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morehead Memorial Hospital Current Accepting new patients
Morehead Memorial Hospital Surgery CurrentSince Aug 23, 2016 Accepting new patients
Carolinas Medical Center CurrentSince Dec 25, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Unc Rockingham Health Care, Inc. Surgery CurrentSince Feb 5, 2019 Accepting new patients
Unc Rockingham Health Care, Inc. Current Accepting new patients
Carolinas Medical Center CurrentSince Dec 25, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 25, 2023 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Carolinas Medical Center Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Dec 25, 2023 Accepting new patients
Carolinas Physicians Network Inc Surgery CurrentSince Dec 25, 2023 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Surgery CurrentSince Dec 25, 2023 Accepting new patients
Unc Rockingham Health Care, Inc. Current Accepting new patients
Morehead Memorial Hospital CurrentSince Aug 23, 2016 Accepting new patients

Locations

2905 Crouse Ln
Ste 201
Burlington, NC 27215
Phone (336) 387-8100

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

515 Thompson St
Ste B
Eden, NC 27288
Phone (336) 623-9118

1126 N Church St
Ste 203
Greensboro, NC 27401
Phone (336) 235-0944

1002 N Church St
Greensboro, NC 27401
Phone (336) 379-7413

1002 N Church St
Ste 302
Greensboro, NC 27401
Phone (336) 387-8100

441 McAlister Rd
Ste 1200
Lincolnton, NC 28092
Phone (980) 212-6200

441 McAlister Rd
Ste 2100
Lincolnton, NC 28092
Phone (980) 212-6250

200 W Grover St
Shelby, NC 28150
Phone (704) 487-8591

Interoperability endpoints

  • Direct secure messaging: ericwilson@ccspa.allscriptsdirect.net
  • Direct secure messaging: ewilson515526@direct.medicine.duke.edu

Organizations & group practices 30

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.

View all 30

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1174604342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST",
            "address_2": "STE 302",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-387-8100",
            "fax_number": "336-387-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST",
            "address_2": "STE 302",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-387-8100",
            "fax_number": "336-387-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "201000545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914536",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.