Individual provider Active NPI

Matthew William Wilson, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Wilson, NC
National Provider Identifier
1922446871
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2017-00488 Issued in NC
Practice address
1803 Forest Hills Rd W
Wilson, NC 27893-3412
Phone
(252) 243-9629
NPI assigned
Jun 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2017-00488 NC Primary

Addresses

Primary practice location

1803 Forest Hills Rd W
Wilson, NC 27893-3412

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255

Other identifiers 1

IdentifierTypeStateIssuer
1922446871MedicaidNC

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
I20170814001360 NC Practitioner - Physical Medicine and Rehabilitation 5395043657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical University of South Carolina College of Medicine, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians
Comprehensive Rehab of Wilson, Inc.Group PAC ID 2668377375, 115 clinicians

Practice addresses (Care Compare)

1803 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-9629

1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400

Hospital & facility affiliations

  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-00488NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Jul 5, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Sep 5, 2017 Accepting new patients
Emergeortho PA Physical Medicine & Rehabilitation CurrentSince Jul 5, 2023 Accepting new patients

Locations

2010 W Arlington Blvd
Greenville, NC 27834
Phone (252) 847-0601

2325 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 752-5156

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

1803 Forest Hills Rd W
Wilson, NC 27893
Phone (252) 237-9200

Interoperability endpoints

  • Direct secure messaging: matthew.wilson.1@847.direct.athenahealth.com

Organizations & group practices 4

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1922446871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "919-220-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 FOREST HILLS RD W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933412",
            "telephone_number": "252-243-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2017-00488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922446871",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.