Wilson Ferguson III, MS

Primary specialty

DriverTaxonomy code 172A00000X

License

009497183 Issued in LA

Practice address

1418 Tiger Dr
Thibodaux, LA 70301-4337

Phone

(985) 449-4055

Fax

(985) 449-4178

NPI assigned

Jun 12, 2023

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ferguson Abundant Living Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Jeanerette, LA
  • NPI 1194500744
  NPD Authorized official
• Ferguson Abundant Living Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Franklin, LA
  • NPI 1407694094
  NPD Authorized official
• Ferguson Abundant Living Pca LLC

  • Home Health Agency
  • Franklin, LA
  • NPI 1033958889
  NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1699459594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 TIGER DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014337",
            "telephone_number": "985-449-4055",
            "fax_number": "985-449-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 TIGER DR",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014337",
            "telephone_number": "985-449-4055",
            "fax_number": "985-449-4178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Eves St",
            "address_purpose": "LOCATION",
            "city": "Jeanerette",
            "state": "LA",
            "postal_code": "705448501",
            "country_code": "US",
            "telephone_number": "337-428-2312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "WILSON",
        "name_suffix": "III",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "LA",
            "license": "009497183",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Service Corporation, Inc.
• Catherine Spears Fangue, N.P.
• Abbey Bourgeois Fanguy, FNP-C
• Brett John Faucheaux, LPC, LMFT
• Christopher Thomas Ferguson, PHARMD
• Joseph Ferkel, MS, ATC
• Cheryl Credeur Fitch, FNP
• Ladamiya Fletcher
• Jadi Flint
• Kayla Flora

• Driver in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Driver in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.