Active NPI
Joseph S Wilson Jr., MD
- Cardiovascular Disease Physician
- Atlanta, GA
National Provider Identifier
1346258977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 20626
- Practice address
- 755 Mount Vernon Hwy
530
Atlanta, GA 30328-4274 - Phone
- (404) 252-7970
- Fax
- (404) 250-0553
- NPI assigned
- Aug 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 20626 | GA | Primary |
| Interventional Cardiology Physician | 207RI0011X | 20626 | GA |
Addresses
Primary practice location
755 Mount Vernon Hwy
530
Atlanta, GA 30328-4274
Mailing address
755 Mount Vernon Hwy
530
Atlanta, GA 30328-4274
Phone (404) 252-7970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000324959 B, F | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20626 | GA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Saint Josephs Hospital of Atlanta Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1346258977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 MOUNT VERNON HWY",
"address_2": "530",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284274",
"telephone_number": "404-252-7970",
"fax_number": "404-250-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 MOUNT VERNON HWY",
"address_2": "530",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284274",
"telephone_number": "404-252-7970",
"fax_number": "404-250-0553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JOSEPH",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "20626",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "20626",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000324959 B, F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.