Thomas A. Wilson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

19427 Issued in NC

Practice address

778 Hoffman Rd
West End, NC 27376-9029

Phone

(877) 472-2302

Fax

(877) 472-2302

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of North Carolina at Chapel Hill School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advantage Behavioral Healthcare IncGroup PAC ID 3779771316, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomas.wilson.p1@direct.daymarkrecovery.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.

• Advantage Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Whiteville, NC
  • NPI 1689750663
  Medicare reassignment Care Compare group NPD
• Daymark Recovery Services, Inc.

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1558329243

  Psychiatry

  Medicare reassignment NPD
• Cornerstone Treatment Facility Program, Inc.

  • Psychiatric Residential Treatment Facility
  • West End, NC
  • NPI 1144512468
  NPD
• Cornerstone Treatment Facility Program, Inc.

  • Psychiatry Physician
  • West End, NC
  • NPI 1851123038
  NPD
• Advantage Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Whiteville, NC
  • NPI 1902100019
  NPD (past)
• Cornerstone Treatment Facility, Inc.

  • Psychiatric Residential Treatment Facility
  • Raeford, NC
  • NPI 1003141912
  NPD (past)
• Cornerstone Treatment Facility, Inc.

  • Psychiatric Residential Treatment Facility
  • Wadesboro, NC
  • NPI 1285969279
  NPD (past)
• Premier Healthcare Services, Inc.

  • Psychiatric Residential Treatment Facility
  • Raeford, NC
  • NPI 1093040081
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1366485443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 WILDLIFE RD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273320846",
            "telephone_number": "336-267-1186",
            "fax_number": "877-472-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 HOFFMAN RD",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273769029",
            "telephone_number": "877-472-2302",
            "fax_number": "877-472-2302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 Wildlife Rd",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273320846",
            "country_code": "US",
            "telephone_number": "336-267-1186",
            "fax_number": "877-472-2302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "19427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8988468",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "integratedcare@direct.daymarkrecovery.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Daymark Recovery Services Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "284 Executive Park Dr",
            "address_2": "Suite 100",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280251831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dorothy Ann Werkmeister, LPC
• West End Holdings, LLC
• Ashley L Williams, M.A., CCC-SLP
• Natasha Williams
• John F. Wilson III
• Jessica Wlodarski

• Psychiatry Physician in West End, NC
• Providers in West End, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.