Cora Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4795 Issued in TN

Practice address

181 Matherly St
Crossville, TN 38555-1001

Phone

(931) 644-5423

Fax

(931) 337-0155

NPI assigned

Nov 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Satellite Med, PLLCGroup PAC ID 7911414826, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: cora.wilson.1@20800.direct.athenahealth.com

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.

• Satellite Med, PLLC

  • Urgent Care Clinic/Center
  • Cookeville, TN
  • NPI 1861515397
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1760149991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MATHERLY ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385551001",
            "telephone_number": "931-644-5423",
            "fax_number": "931-710-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MATHERLY ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385551001",
            "telephone_number": "931-644-5423",
            "fax_number": "931-337-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CORA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Whittenburg, D.PH.
• Gary Allan Wikert, M.D.
• William E Smith Obstetrics & Gynecology
• David Lloyd Williams, OTR/L, CHT
• Jenna Marie Williams
• Garland A Wilson, MD
• Lindsey D Wilson, DPT
• Margaret D Wilson, FNP
• Lawrence Wise, H.I.S.
• Jacquelyn Blaire Worley

• Physician Assistant in Crossville, TN
• Providers in Crossville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.