Jay D Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.008721RX Issued in OH

Practice address

2131 E State St
Athens, OH 45701-2138

Phone

(740) 589-3100

Fax

(740) 589-3123

NPI assigned

Nov 13, 2007

Last updated

Apr 19, 2024By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnie Hamilton Health Care Center IncGroup PAC ID 2961311667, shared by 6 NPIs, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Minnie Hamilton Health System Hospital, Grantsville, WV, CCN 511303

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jay.wilson1@17389.direct.athenahealth.com
• Direct secure messaging: jwilson@ovmqc.gwaydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Association

  dba Jackson General Hospital

  • Critical Access Hospital
  • Ripley, WV
  • NPI 1649277476
  Medicare reassignment
• West Virginia University Medical Corporation

  dba University Health Associates

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508
  Medicare reassignment
• Community Health Association

  dba Jackson General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ripley, WV
  • NPI 1083805790
  NPD
• Community Health Association

  dba Jackson General Clinic

  • Clinic/Center
  • Ripley, WV
  • NPI 1134417975
  NPD
• West Virginia University Medical Corporation

  dba Crisis Support and Recovery Center

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD
• West Virginia University Medical Corporation

  dba WVU Obstetrics & Gynecology-Bridgeport

  • Clinical Medical Laboratory
  • Bridgeport, WV
  • NPI 1457605404
  NPD
• Bestpractices of West Virginia, Inc.

  • Emergency Medicine Physician
  • Parkersburg, WV
  • NPI 1245284421
  NPD (past)
• Community Health Association

  dba JGH Therapy and SportsCare

  • Physical Therapy Clinic/Center
  • Ravenswood, WV
  • NPI 1124369780
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Minnie Hamilton Health Care Center, Inc.

  dba Critical Access Hospital

  • Critical Access Hospital
  • Grantsville, WV
  • NPI 1124029400
  Care Compare affiliation
• Minnie Hamilton Health Care Center, Inc.

  dba Swing Bed - Medicare

  • Medicare Defined Swing Bed Hospital Unit
  • Grantsville, WV
  • NPI 1356459002
  Care Compare affiliation

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1245410893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311562",
            "telephone_number": "740-446-5000",
            "fax_number": "740-446-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012138",
            "telephone_number": "740-589-3100",
            "fax_number": "740-589-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAY",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1328",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008721RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jay.wilson1@17389.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2131 E State St",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457012138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra Willis, QMHS
• Kimberly Willison
• Laura Sue Wills, M.D.
• Anne E Wilson, QMHS
• Ashleigh Wilson, CDCA
• Jordan Wilson
• Sasha Wilson
• Tracy Wilson
• Troy Wilson, CDCAII
• Jennifer A Wilt

• Physician Assistant in Athens, OH
• Providers in Athens, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.

Verify at the official NPI Registry.