Jerrod Prescot Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8767 Issued in FL

Practice address

12720 S Orange Blossom TRL
# 20
Orlando, FL 32837-6225

Phone

(407) 438-4888

Fax

(407) 398-0117

NPI assigned

Dec 14, 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mauricio Chiropractic Clinics PA

  • Chiropractor
  • Orlando, FL
  • NPI 1992988109
  Medicare reassignment NPD
• Mauricio Chiropractic Dr. Phillips, LLC

  • Chiropractor
  • Orlando, FL
  • NPI 1396110110
  Medicare reassignment NPD
• Mauricio Chiropractic East Colonial, LLC

  • Chiropractor
  • Orlando, FL
  • NPI 1245413459
  Medicare reassignment NPD
• Mauricio Chiropractic Group Inc

  • Chiropractor
  • Orlando, FL
  • NPI 1629258330
  Medicare reassignment NPD
• Mauricio Chiropractic Poinciana LLC

  • Chiropractor
  • Kissimmee, FL
  • NPI 1477739258
  Medicare reassignment NPD
• Mauricio Chiropractic South L L C

  • Chiropractor
  • Orlando, FL
  • NPI 1689870412
  Medicare reassignment
• Mauricio Chiropractic Clinics PA

  • Chiropractor
  • Winter Park, FL
  • NPI 1982884698
  NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851453344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 S ORANGE BLOSSOM TRL",
            "address_2": "# 20",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376225",
            "telephone_number": "407-438-4888",
            "fax_number": "407-398-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 S ORANGE BLOSSOM TRL",
            "address_2": "# 20",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376225",
            "telephone_number": "407-438-4888",
            "fax_number": "407-398-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JERROD",
        "middle_name": "PRESCOT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4605400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7954734",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethel Wilson, RN
• George Edwin Wilson, MD
• James R Wilson, M.D.
• Janet Wilson
• Jekera Yashonda Y'Satis Wilson, DOULA
• Kadine Tashika Wilson, PA-C
• Kalay Wilson, PMHNP-BC, RN
• Katina L Wilson, ARNP
• Khalil Wilson
• Kimberly S Wilson, PHARMD

• Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Chiropractor in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.