Active NPI
Michelle Wilkinson, PAC
- Physician Assistant
- Houston, TX
National Provider Identifier
1790728368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11298
- Practice address
- 3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525 - Phone
- (833) 208-7770
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9118032 | FL | |
| Physician Assistant | 363A00000X | PA11298 | TX | Primary |
Addresses
Primary practice location
3200 Southwest Fwy Ste 2100
Houston, TX 77027-7525
Mailing address
220 Athens Way Ste 240
Nashville, TN 37228-1311
Phone (833) 208-7770
Other practice location 1
3109 W Dr Martin Luther King Jr Blvd Ste 350
Tampa, FL 33607-6208
Phone (833) 208-7770
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle.wilkinson.1@27760.direct.athenahealth.com | Direct | |
| Direct Messaging Address | michelle.wilkinson.2@27760.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9118032 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imagine Pediatrics PLLC | Physician Assistant | Past | Accepting new patients |
| Imagine Pediatrics of Florida LLC | Past | Accepting new patients | |
| Dallas Physician Medical Services for Children Inc | Past | Accepting new patients | |
| Redimed Dekalb LLC | Past | Accepting new patients |
Interoperability endpoints
- michelle.wilkinson.1@27760.direct.athenahealth.com
- michelle.wilkinson.2@27760.direct.athenahealth.com
- https://api.platform.athenahealth.com/27760/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Children's Health Medical Group
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
-
- Pediatrics Physician
- Tampa, FL
- NPI 1104542232
-
- General Practice Physician
- Auburn, IN
- NPI 1669417457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1790728368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ATHENS WAY STE 240",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281311",
"telephone_number": "833-208-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SOUTHWEST FWY STE 2100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277525",
"telephone_number": "833-208-7770"
}
],
"practiceLocations": [
{
"address_1": "3109 W Dr Martin Luther King Jr Blvd Ste 350",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076208",
"country_code": "US",
"telephone_number": "833-208-7770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKINSON",
"first_name": "MICHELLE",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9118032",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA11298",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.wilkinson.1@27760.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Other",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "3200 Southwest Fwy Ste 2100",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770277525",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.wilkinson.2@27760.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "3109 W Dr Martin Luther King Jr Blvd Ste 350",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336076208",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.