Matthew James Wilyonson, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2021-01489 Issued in NC

Practice address

401 W Wilson Creek Dr
Trent Woods, NC 28562-7539

Phone

(423) 902-3550

NPI assigned

Feb 10, 2014

Last updated

Feb 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1629492798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W WILSON CREEK DR",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627539",
            "telephone_number": "423-902-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W WILSON CREEK DR",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627539",
            "telephone_number": "423-902-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILYONSON",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-10",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "202101489",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2021-01489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Bonicelli Taylor
• Kathryn Taylor
• Jeffery Raymond Thomas, D.D.S.
• Lydia Worley Warren, LMFT
• Graylyn Lewis Wiley, PMHNP

• General Practice Physician in Trent Woods, NC
• Providers in Trent Woods, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.