Active NPI
John Stephen Wilson, M.D.
- Otolaryngology Physician
- Mobile, AL
National Provider Identifier
1811982002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 00014942
- Practice address
- 2880 Dauphin St
Mobile, AL 36606-2457 - Phone
- (251) 473-1900
- Fax
- (251) 470-8943
- NPI assigned
- Sep 14, 2005
- Last updated
- Nov 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 00014942 | AL | Primary |
Addresses
Primary practice location
2880 Dauphin St
Mobile, AL 36606-2457
Mailing address
2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.49 of 100
- Quality
- 81.75
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00014942 | AL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Management, Inc. | Current | Accepting new patients | |
| Premier Health Management, Inc. | Otolaryngology | Current | Accepting new patients |
Locations
2880 Dauphin St
Mobile, AL 36606
Phone (251) 341-3368
126 Alabama Ave W
Thomasville, AL 36784
Phone (251) 473-1900
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1811982002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062457",
"telephone_number": "251-473-1900",
"fax_number": "251-470-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062457",
"telephone_number": "251-473-1900",
"fax_number": "251-470-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JOHN",
"middle_name": "STEPHEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AL",
"license": "00014942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.