Active NPI
Joyce Wilson
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Garden City, MI
National Provider Identifier
1366034209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 5501019427
- Practice address
- 31535 Ford Rd Ste 300
Garden City, MI 48135-1821 - Phone
- (855) 643-7246
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 5501019427 | MI | Primary |
Addresses
Primary practice location
31535 Ford Rd Ste 300
Garden City, MI 48135-1821
Mailing address
31535 Ford Rd Ste 300
Garden City, MI 48135-1821
Phone (855) 643-7246
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019427 | MI | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1366034209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31535 FORD RD STE 300",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481351821",
"telephone_number": "855-643-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31535 FORD RD STE 300",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481351821",
"telephone_number": "855-643-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JOYCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MI",
"license": "5501019427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.