Sharon Lynn Wilt, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

66842 Issued in GA

Practice address

1201 Pleasant Valley Rd FL 7
Owensboro, KY 42303-9811

Phone

(270) 417-4705

Fax

(270) 417-4709

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, KY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swilt102978@direct.phs.org

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.

• Owensboro Health Medical Group Inc

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Owensboro Health Medical Group Inc

  • Pediatrics Physician
  • Owensboro, KY
  • NPI 1568824506
  NPD
• Owensboro Health Inc

  • General Acute Care Hospital
  • Owensboro, KY
  • NPI 1285613612
  NPD (past)
• Central Georiga Fertility Institute

  • Reproductive Endocrinology Physician
  • Macon, GA
  • NPI 1447390901
  NPD (past)
• Lefleur Emergency Physicians

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1891985420
  NPD (past)
• River Oaks Management Company LLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1922029040
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1760492185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 RIVER OVERLOOK",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310294898",
            "telephone_number": "601-942-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD FL 7",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039811",
            "telephone_number": "270-417-4705",
            "fax_number": "270-417-4709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 River Overlook",
            "address_purpose": "LOCATION",
            "city": "Forsyth",
            "state": "GA",
            "postal_code": "310294898",
            "country_code": "US",
            "telephone_number": "601-942-0179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Unser Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "87124",
            "country_code": "US",
            "telephone_number": "601-942-0179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILT",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "53549",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "66842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03075562",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003124060",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Forsyth",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "521 River Overlook",
            "city": "Forsyth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310294898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maggie Wilson, MS, OTR
• Reid H Wilson, M.D.
• Sara Wilson
• Tanner Wilson, SLP
• William Cassidy Wilson IV, MD
• Chet Alan Wiman, PT
• Bradley Wimsatt, MS, LPCC-S
• Lisa C Wimsatt, ARNP CNM
• Winding River Health Care PSC
• Carol S Wingfield, ARNP

• Pediatrics Physician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.