Dr. Robin a. Wilson and Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0727 Issued in SC

Legal business name

DR. ROBIN A. WILSON AND ASSOCIATES, LLC

Practice address

205 North Maple Street
Suite 8
Simpsonville, SC 29681

Phone

(864) 963-9149

Fax

(864) 967-4727

NPI assigned

Nov 19, 2007

Last updated

May 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin A Wilson, D.O.NPI 1437190683

Title

Physician

Phone

(864) 963-9149

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin A. Wilson, D.O.

  • Internal Medicine Physician
  • Simpsonville, SC
  • NPI 1437190683
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1790966737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81055",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296800018",
            "telephone_number": "864-963-9149",
            "fax_number": "864-967-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NORTH MAPLE STREET",
            "address_2": "SUITE 8",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "864-963-9149",
            "fax_number": "864-967-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBIN A. WILSON AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "864-963-9149",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "0727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.