Active NPI
Melinda Dillard Wilson, ATC
- Athletic Trainer
- Fayette, AL
National Provider Identifier
1700859386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 037
- Practice address
- 2631 Temple Ave N
Fayette, AL 35555-1157 - Phone
- (800) 648-3271
- Fax
- (205) 932-2153
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 037 | AL | Primary |
Addresses
Primary practice location
2631 Temple Ave N
Fayette, AL 35555-1157
Mailing address
128 Allyn Trce
Winfield, AL 35594-6261
Phone (205) 487-7080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700859386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 ALLYN TRCE",
"city": "WINFIELD",
"state": "AL",
"postal_code": "355946261",
"telephone_number": "205-487-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2631 TEMPLE AVE N",
"city": "FAYETTE",
"state": "AL",
"postal_code": "355551157",
"telephone_number": "800-648-3271",
"fax_number": "205-932-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MELINDA",
"middle_name": "DILLARD",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayette, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.