NPIMap

Organization Active NPI

Paul C Wilkins MD LLC

  • Psychiatry Physician
  • Charlottesville, VA
National Provider Identifier
1669660700
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101025436 Issued in VA
Legal business name
PAUL C WILKINS MD LLC
Practice address
175 S Pantops Dr Ste 205
Charlottesville, VA 22911-8673
Phone
(434) 296-9740
Fax
(434) 284-8923
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Dr. Paul C Wilkins, MD
Title
Owner
Phone
(434) 296-9740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 0101025436 VA Primary

Addresses

Primary practice location

175 S Pantops Dr Ste 205
Charlottesville, VA 22911-8673

Mailing address

175 S Pantops Dr Ste 205
Charlottesville, VA 22911-8673
Phone (434) 296-9740

Other identifiers 6

IdentifierTypeStateIssuer
66712OtherCIGNA
1507849OtherUNITED BEHAVIORAL HEALTH
P00230972OtherRAILROAD MEDICARE
032119OtherVALUE OPTIONS
82082OtherSENTARA/SOUTHERN HEALTH
2149656OtherOPTIMUM CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050701000694 VA Part B Supplier - Clinic/Group Practice 3173569902 Practice locations: Charlottesville, VA

National Provider Directory

National Provider Directory

Locations

175 S Pantops Dr
Ste 205
Charlottesville, VA 22911
Phone (434) 296-9740

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1669660700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S PANTOPS DR STE 205",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118673",
            "telephone_number": "434-296-9740",
            "fax_number": "434-284-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S PANTOPS DR STE 205",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118673",
            "telephone_number": "434-296-9740",
            "fax_number": "434-284-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL C WILKINS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-296-9740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101025436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "66712",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "1507849",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00230972",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "032119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA/SOUTHERN HEALTH",
            "identifier": "82082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "2149656",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.