NPIMap

Individual provider Active NPI

Suzanne Lee Wilson, M.D.

  • Hospitalist Physician
  • Pinehurst, NC
National Provider Identifier
1619996121
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
01975 Issued in NC
Practice address
205 Page Road
Pinehurst, NC 28374-8798
Phone
(910) 295-5511
Fax
(910) 295-5481
NPI assigned
Jul 18, 2006
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 01975 NC Primary

Addresses

Primary practice location

205 Page Road
Pinehurst, NC 28374-8798

Mailing address

205 Page Road
Pinehurst, NC 28374-8798
Phone (910) 295-5511

Other identifiers 6

IdentifierTypeStateIssuer
5905677MedicaidNC
N01975OtherSCSC MEDICAID
0407048OtherNCEVERCARE PROVIDER #
144NOOtherNCBCBS
195533OtherNCMEDCOST
FH1100235OtherNCFIRSTCAROLINA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070501000406 NC Practitioner - Internal MedicinePractitioner - Hospitalist 8426154808 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FHPG LLCGroup PAC ID 9537481569, 195 clinicians
MCPC-14 LLCGroup PAC ID 2567696552, 6 clinicians

Practice addresses (Care Compare)

1690 US Hwy 1 S
Suite 300
Southern Pines, NC 28387-7037
Phone (910) 684-5449

305 Page Rd N
Suite 1
Pinehurst, NC 28374-0086
Phone (910) 715-8671

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as group
Quality
79.14
Promoting interoperability
92
Improvement activities
40
Cost
80.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01975NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-8, LLC CurrentSince Nov 1, 2024 Accepting new patients
MCPC-14, LLC CurrentSince Oct 1, 2013 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Jul 8, 2008 Accepting new patients
FHPG, LLC Current Accepting new patients
Firsthealth of the Carolinas, Inc. Current Accepting new patients
FHPG, LLC CurrentSince Jan 1, 2015 Accepting new patients
MCPC-8, LLC CurrentSince Nov 1, 2024 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth-Unc Maternal-Fetal Medicine CurrentSince Jul 8, 2008 Accepting new patients
MCPC-8, LLC Current Accepting new patients
MCPC-24, LLC CurrentSince Nov 1, 2022 Accepting new patients
MCPC-14, LLC CurrentSince Oct 1, 2013 Accepting new patients
FHPG, LLC CurrentSince Jan 1, 2015 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

225 Capital Dr
Ste 101
Carthage, NC 28327
Phone (910) 215-5100

923 W 3rd St
Pembroke, NC 28372
Phone (910) 521-0564

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

305 Page Rd N
Ste 1
Pinehurst, NC 28374
Phone (910) 295-7070

6408 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6000

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

1690 US Highway 1 S
Ste 300
Southern Pines, NC 28387
Phone (910) 684-5449

500 E Rhode Island Ave
Southern Pines, NC 28387
Phone (910) 692-0300

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

Interoperability endpoints

  • Direct secure messaging: swilson6780@firsthealth.direct-ci.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1619996121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PAGE ROAD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748798",
            "telephone_number": "910-295-5511",
            "fax_number": "910-295-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PAGE ROAD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748798",
            "telephone_number": "910-295-5511",
            "fax_number": "910-295-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SUZANNE",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "01975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905677",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "N01975",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER #",
            "identifier": "0407048",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "144NO",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "195533",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCAROLINA",
            "identifier": "FH1100235",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.