Individual provider Active NPI

Jared Michael Wilson, M.D.

  • Anesthesiology Physician
  • Virginia Beach, VA
National Provider Identifier
1639461304
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101259447 Issued in VA
Practice address
134 Business Park Dr
Virginia Beach, VA 23462-6523
Phone
(757) 473-0044
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101259447 VA Primary

Addresses

Primary practice location

134 Business Park Dr
Virginia Beach, VA 23462-6523

Mailing address

134 Business Park Dr
Virginia Beach, VA 23462-6523
Phone (757) 473-0044

Other practice location 1

830 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 473-0044

Other practice location 2

1060 First Colonial Rd
Virginia Beach, VA 23454-3002
Phone (757) 473-0044

Other practice location 3

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 473-0044

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL admin@atlanticanesthesia.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160608000784 VA Practitioner - Anesthesiology 1658661384 Reassigns benefits to 7 organizations
I20210823001173 MD Practitioner - Anesthesiology 1658661384
I20210917000057 DC Practitioner - Anesthesiology 1658661384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians
Atlantic Anesthesia, IncGroup PAC ID 4587562152, 177 clinicians

Practice addresses (Care Compare)

1060 1St Colonial Rd
Virginia BCH, VA 23454-3002
Phone (757) 473-0055

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1000

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 473-0055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
78.69
Improvement activities
40
Cost
74.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Anesthesia Group, LLC Anesthesiology CurrentSince Jan 15, 2017 Accepting new patients
Atlantic Anesthesia, Inc Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Aug 8, 2017 Accepting new patients
Consultants in Pain Management, Inc Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Anesthesia Connections-Virginia, LLC Anesthesiology CurrentSince Apr 1, 2016 Accepting new patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Feb 17, 2022 Accepting new patients

Locations

1302 Rising Ridge Rd
Ste 1
Mount Airy, MD 21771

4040 Fairfax Dr
Ste 801
Arlington, VA 22203
Phone (571) 970-6050

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

828 Healthy Way
Ste 115
Virginia Beach, VA 23462
Phone (757) 388-6200

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

5215 Monticello Ave
Williamsburg, VA 23188
Phone (757) 229-4000

Organizations & group practices 7

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.

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1639461304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BUSINESS PARK DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626523",
            "telephone_number": "757-473-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BUSINESS PARK DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626523",
            "telephone_number": "757-473-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Kempsville Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023920",
            "country_code": "US",
            "telephone_number": "757-473-0044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 First Colonial Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543002",
            "country_code": "US",
            "telephone_number": "757-473-0044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-473-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101259447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@atlanticanesthesia.com",
            "affiliation": "N",
            "address_1": "134 Business Park Dr",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234626523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.