Peter Wyman Wilson, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

26554 Issued in SC

Practice address

1670 Clairmont Way NE
Atlanta VA Medical Center--Dept of Medicine/Cardiology
Atlanta, GA 30329-1614

Phone

(404) 321-6111

Fax

(404) 728-7794

NPI assigned

Aug 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770698029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 BRIARCLIFF RD NE",
            "address_2": "EPICORE--SUITE 1 NORTH",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062636",
            "telephone_number": "404-728-6854",
            "fax_number": "866-434-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CLAIRMONT WAY NE",
            "address_2": "ATLANTA VA MEDICAL CENTER--DEPT OF MEDICINE/CARDIOLOGY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303291614",
            "telephone_number": "404-321-6111",
            "fax_number": "404-728-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PETER",
        "middle_name": "WYMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "26554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Andrew Wilson III, PSY.D.
• Nathaniel Robert Wilson, MD
• Nicholas Wesley Wilson
• Nikki Kai Wilson, OT003469
• Patty J Wilson, CPNP
• Priscilla Wilson, PH.D.
• Robert Wilson
• Robert Wilson
• Samantha Wilson, DO
• Sandra Elaine Wilson, PHD,ACSW,LCSW

• Endocrinology, Diabetes & Metabolism Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.