Active NPI
Thomas G Wilson, M.D.
- Surgery Physician
- Darlington, SC
National Provider Identifier
1902879349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9273
- Practice address
- 701 Cashua Ferry Rd
Darlington, SC 29532-8488 - Phone
- (843) 391-2017
- Fax
- (843) 391-2027
- NPI assigned
- Feb 8, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9273 | SC | Primary |
Addresses
Primary practice location
701 Cashua Ferry Rd
Darlington, SC 29532-8488
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 391-2017
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092731 | Medicaid | SC | |
| 5906831 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9273 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1902879349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295023239",
"telephone_number": "843-391-2017",
"fax_number": "843-391-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 CASHUA FERRY RD",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295328488",
"telephone_number": "843-391-2017",
"fax_number": "843-391-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "THOMAS",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "9273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092731",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906831",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Darlington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.