Active NPI
Michael Wilson, DPM
- Podiatrist
- Winston-Salem, NC
National Provider Identifier
1649232943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 100
- Practice address
- 190 Kimel Park Dr
Winston-Salem, NC 27103-6946 - Phone
- (336) 768-3296
- Fax
- (336) 794-8668
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 100 | SC | Primary |
Addresses
Primary practice location
190 Kimel Park Dr
Winston-Salem, NC 27103-6946
Mailing address
813 Holly Hedge Dr
Lewisville, NC 27023-9664
Phone (336) 946-2729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100 | SC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Veterans Affairs | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1073863197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649232943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 HOLLY HEDGE DR",
"city": "LEWISVILLE",
"state": "NC",
"postal_code": "270239664",
"telephone_number": "336-946-2729",
"fax_number": "336-946-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 KIMEL PARK DR",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271036946",
"telephone_number": "336-768-3296",
"fax_number": "336-794-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "SC",
"license": "100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston-Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.