Brent A Wilson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DR.0053468 Issued in CO

Practice address

800 Peachtree St NE
Apt 1303
Atlanta, GA 30308-1245

Phone

(410) 533-2000

Fax

(480) 287-8015

NPI assigned

Oct 24, 2007

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1811186034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PEACHTREE ST NE",
            "address_2": "APT 1303",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081245",
            "telephone_number": "410-533-2000",
            "fax_number": "480-287-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEACHTREE ST NE",
            "address_2": "APT 1303",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081245",
            "telephone_number": "410-533-2000",
            "fax_number": "480-287-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRENT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "059350",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0053468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60886358",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Byrd Wilson, CCAC II
• Arlene A Wilson, MD
• Ashley Wilson, NP
• Beverly Wilson, LMT
• Brandi Wilson, LCSW
• Brittany Wilson, M.D.
• Bryant W Wilson, M.D.
• Catherine Wilson, PA-C
• Chasian Wilson
• Christine Wilson

• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.