Individual provider Active NPI

Graham H Wilson, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, NC
National Provider Identifier
1447511159
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401415147 Issued in NC
Practice address
7320 Market St
Wilmington, NC 28411-9881
Phone
(910) 386-5003
NPI assigned
May 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401415147 NC Primary

Addresses

Primary practice location

7320 Market St
Wilmington, NC 28411-9881

Mailing address

7320 Market St
Wilmington, NC 28411-9881
Phone (910) 386-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401415147NCMDOral and Maxillofacial Surgery (Dentist)
9323NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Wilson and Kelly, PLLC Oral and Maxillofacial Surgery CurrentSince Oct 5, 2025 Accepting new patients

Locations

7320 Market St
Wilmington, NC 28411
Phone (910) 386-5003

Interoperability endpoints

  • Direct secure messaging: gwilson1253349@direct.novanthealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1447511159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119881",
            "telephone_number": "910-386-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119881",
            "telephone_number": "910-386-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GRAHAM",
        "middle_name": "H",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "0401415147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.