Active NPI
Michael Ray Wilkerson, MD
- Emergency Medicine Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 47611
- Practice address
- 294 Summar Dr
Jackson, TN 38301-3915 - Phone
- (731) 423-1932
- Fax
- (731) 410-0367
- NPI assigned
- Mar 25, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD-17806 | HI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 47611 | TN | Primary |
Addresses
Primary practice location
294 Summar Dr
Jackson, TN 38301-3915
Mailing address
294 Summar Dr
Jackson, TN 38301-3915
Phone (731) 423-1932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 881-4400
Hospital & facility affiliations
- Hilo Benioff Medical Center
- North Hawaii Community Hospital, Inc
- Honoka'a Hospital and Skilled Nursing
- Kohala Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Kauai Veterans Memorial Hospital | Current | Accepting new patients | |
| Kauai Veterans Memorial Hospital | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| Honokaa Hospital & Skilled Nursing | Current | Accepting new patients | |
| Hawaii Emergency Physicians Associated Inc | Emergency Medicine | Current | Accepting new patients |
| Honokaa Hospital & Skilled Nursing | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| North Hawaii Community Hospital, Inc | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| Emergency Medical Care Facilities PC | Emergency Medicine | Past | Accepting new patients |
| Midpacific Hospitalists LLC | Past | Accepting new patients |
Locations
1285 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3878
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7211
56-117 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9221
640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
Organizations & group practices 15
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.
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
-
- Emergency Medicine Physician
- Kailua, HI
- NPI 1801843198
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Critical Access Hospital
- Honokaa, HI
- NPI 1164506317
-
- Rural Health Clinic/Center
- Pahala, HI
- NPI 1144304338
-
- Critical Access Hospital
- Waimea, HI
- NPI 1467510743
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1720785884
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- General Practice Physician
- Honokaa, HI
- NPI 1992398895
-
- Rural Health Clinic/Center
- Pahoa, HI
- NPI 1285450163
-
- Specialist
- Waimea, HI
- NPI 1467620328
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Nursing Facility/Intermediate Care Facility
- Honokaa, HI
- NPI 1053497040
Hospital
-
- Critical Access Hospital
- Honokaa, HI
- NPI 1164506317
-
- Critical Access Hospital
- Kapaau, HI
- NPI 1588734420
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1326362997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013915",
"telephone_number": "731-423-1932",
"fax_number": "731-410-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013915",
"telephone_number": "731-423-1932",
"fax_number": "731-410-0367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKERSON",
"first_name": "MICHAEL",
"middle_name": "RAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-25",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "MD-17806",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "47611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.