Glenn L Wilson, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

28405 Issued in NC

Practice address

100 Medical Center Dr.
Suite 101
Gadsden, AL 35903-1130

Phone

(256) 492-8590

Fax

(256) 492-4498

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. G. Lee Wilson Professional name

Medicare fee-for-service enrollment

Enrolled in AL

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

Orthopedic Surgery

Education

University of South Alabama College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Orthopedic CentersGroup PAC ID 2466430004, 19 clinicians

Northeast Orthopedic Clinic PCGroup PAC ID 6709798200, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alabama Homecare of Gadsden Home health agency, Gadsden, AL, CCN 017115
• Amedisys Home Health of Fort Payne Home health agency, Rainesville, AL, CCN 017158
• Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046
• Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gwilso08@yourcarecommunity.org
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0010225
• Direct secure messaging: glennwilson@nocpc.allscriptsdirect.net

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.

• Northeast Orthopedic Clinic PC

  • Orthopaedic Surgery Physician
  • Gadsden, AL
  • NPI 1699785790
  Medicare reassignment Care Compare group NPD
• The Orthopedic Centers

  • Orthopaedic Surgery Physician
  • Rainbow City, AL
  • NPI 1043262124
  Medicare reassignment Care Compare group NPD
• Sparks Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Rainbow City, AL
  • NPI 1285273748
  NPD (past)

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

• Amedisys Home Health of Alabama, LLC

  • Home Health Agency
  • Rainsville, AL
  • NPI 1861413890
  Care Compare affiliation
• Gadsden Home Care Services LLC

  • Home Health Agency
  • Gadsden, AL
  • NPI 1821010679
  Care Compare affiliation
• Gadsden Regional Medical Center LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1225081516
  Care Compare affiliation
• Prime Healthcare Services - Gadsden LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1992103857
  Care Compare affiliation
• Prime Healthcare Services Gadsden LLC

  • Radiology Clinic/Center
  • Gadsden, AL
  • NPI 1801294764

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1750479754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR.",
            "address_2": "SUITE 101",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031130",
            "telephone_number": "256-492-8590",
            "fax_number": "256-492-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR.",
            "address_2": "SUITE 101",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031130",
            "telephone_number": "256-492-8590",
            "fax_number": "256-492-4498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 Winkler Ave Unit 100",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339169523",
            "country_code": "US",
            "telephone_number": "239-277-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GLENN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD28405",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "28405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131368",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G.",
            "last_name": "WILSON",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeffery Shane Williams, RPT
• Aaliyah. Monique Williamson
• Julianna Williamson
• Mark A Willis, RPT
• Amanda Michele Wilson
• Rex Ralph Wilson, DMD PC
• Sylvia A. Wiseman, OTR
• Russell Andrew Wofford, LMSW
• Heather Wolfe, CRNP
• Women'S Healthcare Professionals, P.C.

• Orthopaedic Surgery Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Orthopaedic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.