Darrel L Wilson P.C.

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

Legal business name

DARREL L WILSON P.C.

Practice address

135 N Pauline St FL 4-5
Memphis, TN 38105-4619

Phone

(901) 830-6990

Fax

(901) 624-5044

NPI assigned

Feb 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Darrel Lenard WilsonNPI 1114071370

Title

President

Phone

(901) 830-6990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darrel Lenard Wilson, M.D.

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1114071370
  NPD (past) Authorized official

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1942507140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7948 WINCHESTER RD",
            "address_2": "STE 109 PMB 135",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252310",
            "telephone_number": "901-830-6990",
            "fax_number": "901-624-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N PAULINE ST FL 4-5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054619",
            "telephone_number": "901-830-6990",
            "fax_number": "901-624-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREL L WILSON P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DARREL",
        "authorized_official_middle_name": "LENARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-830-6990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Psychiatry Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Addiction Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.