Active NPI
Gregory Alvin Wilson Sr., LMSW
- Military Health Care Provider
- Battle Creek, MI
National Provider Identifier
1205249430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 9259
- Practice address
- 5500 Armstrong Road
Battle Creek, MI 49037 - Phone
- (269) 223-6907
- Fax
- (269) 223-6907
- NPI assigned
- Jun 5, 2014
- Last updated
- Jun 5, 2014
- 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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 9259 | LA | Primary |
Addresses
Primary practice location
5500 Armstrong Road
Battle Creek, MI 49037
Mailing address
151 Medgar Evers St
Grambling, LA 71245-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9259 | LA | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1205249430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 MEDGAR EVERS ST",
"city": "GRAMBLING",
"state": "LA",
"postal_code": "712453211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 ARMSTRONG ROAD",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "49037",
"telephone_number": "269-223-6907",
"fax_number": "269-223-6907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "GREGORY",
"middle_name": "ALVIN",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-05",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "LA",
"license": "9259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.