Anthony Wilkerson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024172092 Issued in VA

Practice address

2232 Wilborn Ave
Suite a
South Boston, VA 24592-1662

Phone

(434) 517-3355

Fax

(434) 572-2510

NPI assigned

Sep 30, 2014

Last updated

Sep 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18733/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dominion Health Medical Assoc.

  dba Sentora Halifax General Surgery

  • Ambulatory Surgical Clinic/Center
  • South Boston, VA
  • NPI 1255771770
  Medicare reassignment NPD
• Pulmonary Associates of Southside Virginia, Inc

  • Specialist
  • South Boston, VA
  • NPI 1265436117
  Medicare reassignment NPD
• 1St Care Hospice Inc

  • Community Based Hospice Care Agency
  • South Boston, VA
  • NPI 1518672658
  NPD
• Dominion Health Medical Assoc

  dba Sentara Cardiology Specialists

  • Cardiovascular Disease Physician
  • South Boston, VA
  • NPI 1356138879
  NPD
• Dominion Health Medical Assoc

  dba Sentara Halifax Family Medicine

  • Legal Medicine
  • South Boston, VA
  • NPI 1407051873
  NPD

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1619370087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 CARRIAGE END WAY",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245926521",
            "telephone_number": "434-579-0935",
            "fax_number": "434-572-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 WILBORN AVE",
            "address_2": "SUITE A",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921662",
            "telephone_number": "434-517-3355",
            "fax_number": "434-572-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-30",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP (Vision Center 30-1345)
• Walgreen Co (Walgreens # 11773)
• Thomas J Walton
• Melanie A Watts, LPC
• Karen Michelle Weddle, LPC
• William D. Owen, Jr.,DDS & Debra G. Claycomb,DDS, PLLC
• Dale Francisco Williams, D.C.
• Dan A Williams Jr.
• Norman L Williams, D.D.S.
• Joyce A. Willis, LCSW

• Family Nurse Practitioner in South Boston, VA
• Providers in South Boston, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.