Lavona Constancia Wilson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN208918 Issued in GA

Practice address

6120 Alabama Hwy
Ringgold, GA 30736-2804

Phone

(706) 935-6442

Fax

(706) 935-6441

NPI assigned

May 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• Direct secure messaging: lavona.wilson.p1@direct.alegiscare.nextgenshare.com

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.

• 24 On Physicians, PC

  • Hospitalist Physician
  • Rome, GA
  • NPI 1912956251
  NPD
• Southside Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Jonesboro, GA
  • NPI 1821981234
  NPD
• Southside Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1235123993
  NPD
• The Bortolazzo Group, LLC

  • Emergency Medicine Physician
  • Austell, GA
  • NPI 1801965082
  NPD
• 24 On Physicians, P.C.

  • Hospitalist Physician
  • Attleboro, MA
  • NPI 1790104511
  NPD
• Piedmont Minor Emergency Clinic 2 LLC

  • Obstetrics & Gynecology Physician
  • Decatur, GA
  • NPI 1922137959
  NPD (past)
• Piedmont Minor Emergency Clinic PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Decatur, GA
  • NPI 1972777209
  NPD (past)

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1245677806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 KELLY ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123006",
            "telephone_number": "301-717-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 ALABAMA HWY",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362804",
            "telephone_number": "706-935-6442",
            "fax_number": "706-935-6441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3108 Piedmont Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303052513",
            "country_code": "US",
            "telephone_number": "404-237-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAVONA",
        "middle_name": "CONSTANCIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN208918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Lindsey Williams, ATC
• Savana Williams, LPC-MHSP
• Demetirus Legail Wilson
• Jennifer Leigh Wilson, NP-C
• Karan Wilson
• Lacy Woods
• Rebecca Sue Woods, FNP
• Kelsey Elizabeth Wortman, DPT
• Heather Yarbrough
• Dolcelyn Zackrison, PSY.D.

• Family Nurse Practitioner in Ringgold, GA
• Providers in Ringgold, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.