Wilson Immediate Care, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

90900464 Issued in NC

Legal business name

WILSON IMMEDIATE CARE, PA

Practice address

1725 S. Tarboro Street
Wilson, NC 27893

Phone

(252) 237-2891

Fax

(252) 237-0115

NPI assigned

May 5, 2006

Last updated

Apr 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence David Krabill, MDNPI 1568411874

Title

President

Phone

(252) 237-2891

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kent Thomas Anderson, M.D.

  • Internal Medicine Physician
  • Wilson, NC
  • NPI 1487650669
  Medicare reassignment Care Compare group NPD
• Chanson Albert Devaul, D.O.

  • Family Medicine Physician
  • Wilson, NC
  • NPI 1841248168
  Medicare reassignment Care Compare group NPD
• Lawrence David Krabill, M.D.

  • Internal Medicine Physician
  • Wilson, NC
  • NPI 1568411874
  Medicare reassignment NPD Authorized official
• James Milton Fitch, PA-C

  • Physician Assistant
  • Wilson, NC
  • NPI 1306872494
  Medicare reassignment Care Compare group
• William A Munn, PA

  • Physician Assistant
  • Rocky Mount, NC
  • NPI 1053386078
  Medicare reassignment

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1679521983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 S. TARBORO STREET",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-237-2891",
            "fax_number": "252-237-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S. TARBORO STREET",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-237-2891",
            "fax_number": "252-237-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON IMMEDIATE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "KRABILL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-237-2891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "25535",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "94-00464",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "90900464",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": "261QUO200X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson Gastroenterology PA
• Wilson Greene Mental Health
• Wilson Heart P a
• Wilson House LLC (Wilson House)
• Wilson Imaging Center, LLC
• Wilson Internal Medicine PA
• Wilson Medical Associates PA
• Wilson Medical Center (West Wilson Internal Medicine)
• Wilson Medical Center, Inc. (Wilson Neurology)
• Wilson Medical Center, Inc. (Wilson Medical Center Medical Nutrional Therapy)

• Internal Medicine Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.