Stacey Wilkins, CRDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH17278 Issued in FL

Practice address

881 Uss James Madison Rd
Kings Bay, GA 31547-2531

Phone

(407) 375-1209

NPI assigned

Jan 21, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1467264259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 FLYCATCHER WAY",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737073",
            "telephone_number": "407-375-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 USS JAMES MADISON RD",
            "city": "KINGS BAY",
            "state": "GA",
            "postal_code": "315472531",
            "telephone_number": "407-375-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "STACEY",
        "credential": "CRDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH17278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M Thaxton, MD
• Gregory Lee Watford, D.M.D.
• Andrew Thomas Wemlinger, IDC
• Allan Whitney, SUB IDC
• Richard Benjamin Wilhite, PA
• Ryan Matthew Woody, IDC

• All providers in Kings Bay, GA
• Dental Hygienist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.