Organization Active NPI

Robert J. Wilson, M.D., P.C.

Doing business as HOPE Clinic

  • Internal Medicine Physician
  • Kingsland, GA
National Provider Identifier
1235170614
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROBERT J. WILSON, M.D., P.C.
Doing business as
HOPE Clinic
Practice address
70 Lindsey LN
Kingsland, GA 31548-6835
Phone
(912) 882-8018
Fax
(912) 510-6035
NPI assigned
Jun 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Teresa L. Wilson
Title
Office Manager
Phone
(912) 882-8018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

70 Lindsey LN
Kingsland, GA 31548-6835

Mailing address

70 Lindsey LN
Kingsland, GA 31548-6835
Phone (912) 882-8018

Other names 1

  • HOPE Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235170614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LINDSEY LN",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486835",
            "telephone_number": "912-882-8018",
            "fax_number": "912-510-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LINDSEY LN",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486835",
            "telephone_number": "912-882-8018",
            "fax_number": "912-510-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. WILSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-882-8018"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.