Active NPI
Erica Joyce Wilson, DNP, CPNP
- Pediatric Nurse Practitioner
- Mount Airy, NC
National Provider Identifier
1407333768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5010759
- Practice address
- 100 N Pointe Blvd
Mount Airy, NC 27030-2266 - Phone
- (336) 789-6267
- Fax
- (336) 786-4245
- NPI assigned
- Jul 19, 2018
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5010759 | NC | Primary |
Addresses
Primary practice location
100 N Pointe Blvd
Mount Airy, NC 27030-2266
Mailing address
PO Box 1267
Mount Airy, NC 27030-1267
Phone (336) 786-4522
Other practice location 1
648 Almondridge Dr
Rural Hall, NC 27045
Phone (336) 969-1185
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010759 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Hospital of Surry County | Past | Accepting new patients |
Interoperability endpoints
- ewilson@nmgfm.gwaydirect.com
Organizations & group practices 1
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.
-
dba Northern Urology
- Urology Physician
- Mount Airy, NC
- NPI 1225578511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1407333768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1267",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270301267",
"telephone_number": "336-786-4522",
"fax_number": "336-969-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N POINTE BLVD",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270302266",
"telephone_number": "336-789-6267",
"fax_number": "336-786-4245"
}
],
"practiceLocations": [
{
"address_1": "648 Almondridge Dr",
"address_purpose": "LOCATION",
"city": "Rural Hall",
"state": "NC",
"postal_code": "27045",
"country_code": "US",
"telephone_number": "336-969-1185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "ERICA",
"middle_name": "JOYCE",
"credential": "DNP, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5010759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.