Wilson'S Professional Care

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILSON'S PROFESSIONAL CARE

Practice address

2415 Penny Rd
Suite 102
High Point, NC 27265-8121

Phone

(336) 885-7300

Fax

(336) 885-7745

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Nathaniel Hamilton Wilson Jr.

Title

BS, QP, Ceo

Phone

(336) 403-1414

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1649319948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 PENNY RD",
            "address_2": "SUITE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658121",
            "telephone_number": "336-885-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PENNY RD",
            "address_2": "SUITE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658121",
            "telephone_number": "336-885-7300",
            "fax_number": "336-885-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON'S PROFESSIONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "BS, QP, CEO",
        "authorized_official_telephone_number": "336-403-1414",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301548G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408378",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301548B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katurah Lashun Wilson, RN
• Lauren Allen Wilson
• Melissa Wilson, LPN, OTC, CPED, BOCO
• Monica Brittain Wilson, PHARMD, BCACP, CPP
• Tierra Wilson
• Wings of Angels Transportation
• Heather G Winslow, CRNA
• Victoria Lynne Winstead, PH.D., LMFT
• Hamidah Winston, LCMCS
• Branden Wise

• Community/Behavioral Health Agency in High Point, NC
• Providers in High Point, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.