Active NPI
Camille Maxine Wilson
- Physician Assistant
- Norfolk, VA
National Provider Identifier
1235048166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5115 Hampton Blvd
Norfolk, VA 23529-5000 - Phone
- (757) 683-3000
- NPI assigned
- Sep 4, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
5115 Hampton Blvd
Norfolk, VA 23529-5000
Mailing address
225 W Olney Rd Apt 405
Norfolk, VA 23510-1594
Phone (916) 709-3522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1235048166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 W OLNEY RD APT 405",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101594",
"telephone_number": "916-709-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 HAMPTON BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235295000",
"telephone_number": "757-683-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CAMILLE",
"middle_name": "MAXINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.