Robert a Wilson MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROBERT A WILSON MD

Practice address

717 N Howe St
Southport, NC 28461-3459

Phone

(336) 317-4591

NPI assigned

Aug 26, 2020

Last updated

Aug 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett Welch, MBA, MHA

Title

Business Manager

Phone

(336) 317-4591

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lenard Clifton Hammond, DC

  • Chiropractor
  • Southport, NC
  • NPI 1760580914
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1609489921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613459",
            "telephone_number": "336-317-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A WILSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "336-317-4591",
        "authorized_official_credential": "MBA, MHA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reynolds Hand in Your Respite Care
• Amanda Dewitt Reynolds, FNP-BC, PMHNP-BC
• Barbara Victoria Reynolds, RN REGISTERED NURSE
• Riccobene & Associates I, DDS, P.a. (Riccobene Associates Family Dentistry - Southport Crossings)
• Riccobene & Associates Xiii, DDS, P.a.
• Annette Roberts
• Michelle L. Rowan, MA, LPC, LCMHC
• Heather Ryan
• Samara's Village, Inc
• Maegan King Sampson, PT

• Family Medicine Physician in Southport, NC
• Providers in Southport, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.