Individual provider Active NPI

John McFarland Wilson, M.D.

  • Urology Physician
  • Winston Salem, NC
National Provider Identifier
1851555858
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2012-00586 Issued in NC
Practice address
2010 Baldwin LN
Winston Salem, NC 27103-5846
Phone
(336) 277-1717
Fax
(336) 277-1718
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2012-00586 NC Primary

Addresses

Primary practice location

2010 Baldwin LN
Winston Salem, NC 27103-5846

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 277-1717

Other identifiers 1

IdentifierTypeStateIssuer
5920490MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwilson27746@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000908 NC Practitioner - Urology 3779730676 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Kentucky College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Piedmont Stone Center PLLCGroup PAC ID 2961315718, 71 clinicians

Practice addresses (Care Compare)

140 Kimel Park Dr
Suite 100
Winston Salem, NC 27103-6160
Phone (336) 245-2100

1907 S Hawthorne Rd
Winston Salem, NC 27103-3916
Phone (336) 765-6373

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 28, 2016 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Oct 7, 2023 Accepting new patients
Novant Medical Group, Inc CurrentSince Nov 28, 2016 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital, Inc. Urology CurrentSince Oct 7, 2023 Accepting new patients
Piedmont Stone Center PLLC Urology CurrentSince Sep 22, 2012 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations

7210 Village Medical Cir
Ste 225
Clemmons, NC 27012
Phone (336) 245-2100

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1730 Kernersville Medical Pkwy
Ste 303
Kernersville, NC 27284
Phone (336) 564-4430

648 Almondridge Dr
Rural Hall, NC 27045
Phone (336) 969-0510

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1907 S Hawthorne Rd
Winston Salem, NC 27103

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

2010 Baldwin Ln
Winston Salem, NC 27103
Phone (336) 277-1717

140 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 245-2100

Interoperability endpoints

  • Direct secure messaging: jwilson27746@direct.novanthealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1851555858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-277-1717",
            "fax_number": "336-277-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BALDWIN LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035846",
            "telephone_number": "336-277-1717",
            "fax_number": "336-277-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOHN",
        "middle_name": "MCFARLAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2012-00586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920490",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilson27746@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2010 Baldwin Ln",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271035846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.