Active NPI
Eric M Wilson, MD
- Surgery Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 201000545
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5914536 | Medicaid | NC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201000545 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehead Memorial Hospital | Current | Accepting new patients | |
| Morehead Memorial Hospital | Surgery | Current | Accepting new patients |
| Carolinas Medical Center | Current | 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 | Current | Accepting new patients |
| Unc Rockingham Health Care, Inc. | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Surgery | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Surgery | Current | Accepting new patients |
| Unc Rockingham Health Care, Inc. | Current | Accepting new patients | |
| Morehead Memorial Hospital | Current | 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
- ericwilson@ccspa.allscriptsdirect.net
- 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Mayodan, NC
- NPI 1194153569
NC
-
- Emergency Medical Services (Emergency Medicine) Physician
- Mayodan, NC
- NPI 1538664099
NC
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Orthopaedic Surgery Physician
- Durham, NC
- NPI 1083329023
-
- Orthopaedic Foot and Ankle Surgery Physician
- Durham, NC
- NPI 1518725936
-
- Ambulatory Surgical Clinic/Center
- Raleigh, NC
- NPI 1740049139
-
- Ambulatory Surgical Clinic/Center
- Raleigh, NC
- NPI 1740978386
-
- Prosthetic/Orthotic Supplier
- Durham, NC
- NPI 1275248965
-
- Internal Medicine Physician
- Elon, NC
- NPI 1316651433
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.