Wilson Pediatrics, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

16075 Issued in SC

Legal business name

WILSON PEDIATRICS, INC.

Practice address

1615 Middleton Street
Orangeburg, SC 29118-4885

Phone

(803) 536-6000

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Beverley Deloris Wilson, M.D.

Title

President

Phone

(803) 536-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22257/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1659440915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2865",
            "address_2": "1615 MIDDLETON STREET",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291184885",
            "telephone_number": "803-536-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MIDDLETON STREET",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291184885",
            "telephone_number": "803-536-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_middle_name": "DELORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-536-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "16075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160756",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quincy Williams
• Shanay E. Williams, SPEECH PATHOLOGIST
• Teresa Ann Williams, MD
• Tyrone Williams, LMSW
• Willie B Louis MD PA
• Natasha Marilyn Wilson, DC
• Kelli Reeves Wimberly, PHARMD
• Shari Stephens Wimberly, RN
• Adwoa Brago Winful, MD, MSC.
• Suzanne Y Wingard, LPTA

• Pediatrics Physician in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.