Yolanda W Wilson, M. D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12555 Issued in MS

Practice address

297 Highway 51 Ste B
Ridgeland, MS 39157-3423

Phone

(601) 707-5381

Fax

(601) 707-5382

NPI assigned

Mar 14, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jackson Pediatric Associates

  • Specialist
  • Ridgeland, MS
  • NPI 1457484594
  NPD (past) Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1386777589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 HIGHWAY 51 STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573423",
            "telephone_number": "601-707-5381",
            "fax_number": "601-707-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 HIGHWAY 51 STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391573423",
            "telephone_number": "601-707-5381",
            "fax_number": "601-707-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "YOLANDA",
        "middle_name": "W",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "12555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110402",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilson-Sigrest, LLC
• Catrina Lynette Wilson, PMPNP
• David Michael Wilson
• Kenneth Wade Wilson, COTA-L
• Vaunasha Lautrice Wilson, OT
• Alicia Windham, OT
• Lori K Windle, SLP
• Shannon Winston
• Marta Parkanyi Witherow, PHD, LPC, LMFT
• Elizabeth Anne Woodcock, PT

• Pediatrics Physician in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.