Joann Wilson

Primary specialty

DriverTaxonomy code 172A00000X

License

801597391 Issued in MS

Practice address

1766 Old Leland Rd
Greenville, MS 38703

Phone

(662) 537-4976

Fax

(662) 537-4977

NPI assigned

Apr 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Restorations Adult Daycare

  • PACE Provider Organization
  • Greenville, MS
  • NPI 1861836132
  NPD (past) Authorized official

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1558704387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 OLD LELAND RD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38703",
            "telephone_number": "662-537-4976",
            "fax_number": "662-537-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 OLD LELAND RD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38703",
            "telephone_number": "662-537-4976",
            "fax_number": "662-537-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MS",
            "license": "801597391",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Williams
• Marilyn D Williams, NP
• Pamela Lee Williams
• Portia Williams, M.A.
• Tip Allen Williams, R.PH.
• Joyce Y Wilson, SLA
• Cha'Ron Keontya Watt Winder
• Lacrystal Winder
• Octavia Rochelle Winder, LPC
• Mandy H Windham, FNP-BC

• Driver in Greenville, MS
• Providers in Greenville, MS by specialty
• Driver in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.