Joshua M Wilson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12879 Issued in FL

Practice address

444 SW Alachua Avenue
Lake City, FL 32025-5213

Phone

(386) 719-5656

Fax

(386) 719-5654

NPI assigned

Nov 28, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Morse Chiropractic LLC

  • Chiropractor
  • Lake City, FL
  • NPI 1275790123
  Medicare reassignment NPD
• 100Yeardoc, LLC

  • Chiropractor
  • Marietta, GA
  • NPI 1194291021
  NPD Authorized official

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1194295592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SW ALACHUA AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255213",
            "telephone_number": "386-719-5656",
            "fax_number": "386-719-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SW ALACHUA AVENUE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255213",
            "telephone_number": "386-719-5656",
            "fax_number": "386-719-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOSHUA",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010131",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deonna G Willis, APRN
• Willowbrook West LLC
• Vanessa R Wills
• Ashley Wilson
• Emily Wilson, PHARMD
• Mary Wilson
• Sunday Wilson, M.S
• Trikyia S Wilson
• John Geary Windham, PA-C
• Regina Catherine Wine

• Chiropractor in Lake City, FL
• Providers in Lake City, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.