Leslie Dean Wilson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0057097 Issued in FL

Practice address

2621 Mitcham Dr
Unit 103
Tallahassee, FL 32308-5480

Phone

(850) 219-2273

Fax

(850) 201-2410

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Florida College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilson Family Medicine LLCGroup PAC ID 7911069257, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Tallahassee, FL, CCN 107200
• NHC Homecare Home health agency, Crawfordville, FL, CCN 107407
• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Wilson Family Medicine LLC

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1588601421
  Medicare reassignment Care Compare group
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Health Services (Certified), Inc.

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1982634101
  Care Compare affiliation Name & address match
• NHC-Op L.P.

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1730888488
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Crawfordville, FL
  • NPI 1417987140
  Care Compare affiliation
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1720029895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 MITCHAM DR",
            "address_2": "UNIT 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085480",
            "telephone_number": "850-219-2273",
            "fax_number": "850-201-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 MITCHAM DR",
            "address_2": "UNIT 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085480",
            "telephone_number": "850-219-2273",
            "fax_number": "850-201-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LESLIE",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0057097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0911X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "743041128",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Wilson, MD
• Kathleen P. Wilson, PHD,CPNP, FNP-BC
• Lajasmaine Wilson
• Lauren Lea Wilson, MD
• Lauryn Marie Wilson
• Luvy Wilson
• Malisha Monet Wilson
• Mavis Casiner Wilson, N.P.
• Melissa Wilson
• Nicole Wilson, PHARMD

• Family Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.