Individual provider Active NPI

Lawrence Eugene Wilson Jr., M.D.

  • Surgical Critical Care Physician
  • Macon, GA
National Provider Identifier
1962633164
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
66438 Issued in GA
Practice address
535 Coliseum Dr
Macon, GA 31217-0104
Phone
(404) 729-4532
NPI assigned
Aug 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 66438 GA Primary
Surgical Critical Care Physician 2086S0102X 17335 HI
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X A131300 CA
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X 17335 HI
Surgical Critical Care Physician 2086S0102X 4301095126 MI
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X 66438 GA
Surgical Critical Care Physician 2086S0102X ME128768 FL
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X 4301095126 MI
Surgical Critical Care Physician 2086S0102X A131300 CA
Hospitalist Physician 208M00000X MD190651 OR

Addresses

Primary practice location

535 Coliseum Dr
Macon, GA 31217-0104

Mailing address

720 Westview Dr SW
Atlanta, GA 30310-1458
Phone (404) 756-1400

Other practice location 1

1100 NW 95th St
Miami, FL 33150-2038
Phone (305) 928-7249 ext. 101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA, FL, NH, SC, TX, WV7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20140925001539 GA Practitioner - General SurgeryPractitioner - Obstetrics/GynecologyPractitioner - Critical Care (Intensivists) 3476773417 Reassigns benefits to 10 organizations
I20160505000326 CA Practitioner - Critical Care (Intensivists) 3476773417 Reassigns benefits to 4 organizations
I20161107001448 FL Practitioner - Critical Care (Intensivists) 3476773417 Reassigns benefits to 3 organizations
I20190301000140 NH Practitioner - Obstetrics/Gynecology 3476773417
I20190402002197 SC Practitioner - Obstetrics/Gynecology 3476773417 Reassigns benefits to 1 organization
I20190418001400 TX Practitioner - Obstetrics/Gynecology 3476773417 Reassigns benefits to 2 organizations
I20191004001265 WV Practitioner - Critical Care (Intensivists) 3476773417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Intensivists PCGroup PAC ID 9032423421, 112 clinicians
Vituity-Georgia Intensivists PCGroup PAC ID 8820438229, 4 clinicians
South Florida Critical Care Services LLCGroup PAC ID 2466714241, 151 clinicians

Practice addresses (Care Compare)

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 887-1230

450 N Candler St
Decatur, GA 30030-2626
Phone (404) 501-6100

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503
Phone (305) 928-7249

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (305) 661-9404

Hospital & facility affiliations

  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
  • North Shore Medical Center Hospital, Miami, FL, CCN 100029
  • Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66438GAMDCritical Care Medicine (Obstetrics & Gynecology) Physician
17335HIMDCritical Care Medicine (Obstetrics & Gynecology) Physician
A131300CAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Hospitalist CurrentSince Mar 1, 2019 Accepting new patients
Regents of the University of California CurrentSince Jun 1, 2016 Accepting new patients
Vituity-Georgia Intensivists PC CurrentSince Mar 18, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jul 22, 2019 Accepting new patients
Upson Womens Services LLC CurrentSince Dec 1, 2016 Accepting new patients
Houston Hospitalist Group LLC Hospitalist CurrentSince Nov 22, 2021 Accepting new patients
Hospital Physician Services of Florida PA Hospitalist CurrentSince Jul 4, 2018 Accepting new patients
Regents of the University of California Current Accepting new patients
Phoebe Primary Care CurrentSince Jun 7, 2014 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jul 22, 2019 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Apr 17, 2015 Accepting new patients
Bel Air Critical Care Medical Group, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Cep America - Intensivists PC Current Accepting new patients
Obhg Texas Holdings, P.a. Hospitalist CurrentSince Mar 20, 2019 Accepting new patients
Dr. Bolanle Sogade M.D. LLC CurrentSince Jun 23, 2015 Accepting new patients
Houston Hospitalist Group LLC Hospitalist Current Accepting new patients
Appleton Intensivist Group, LLC CurrentSince Jul 16, 2020 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Hospitalist CurrentSince Apr 9, 2017 Accepting new patients
Apogee Medical Group Georgia Hospitalist CurrentSince May 20, 2017 Accepting new patients
Regents of the University of California - Ucsd Medical Group CurrentSince Jun 1, 2016 Accepting new patients
Intensivist Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Sound Physicians Intensivists of Georgia PC CurrentSince Jan 6, 2025 Accepting new patients
Morehouse Healthcare, Inc. CurrentSince Feb 25, 2017 Accepting new patients
Theoria Medical CurrentSince May 4, 2024 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jun 7, 2014 Accepting new patients
Cep America - Intensivists PC CurrentSince Aug 13, 2022 Accepting new patients
South Florida Critical Care Services LLC CurrentSince Oct 1, 2020 Accepting new patients
Upson Family Physicians, LC Past Accepting new patients
Oconee Health Care Center LLC Past Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients

Locations (25 of 46)

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

35900 Bob Hope Dr
Ste 257
Rancho Mirage, CA 92270
Phone (760) 321-2500

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8370 W Flagler St
Ste 226
Miami, FL 33144
Phone (305) 917-5414

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410

720 Westview Dr SW
Bldg 100A
Atlanta, GA 30310

720 Westview Dr SW
Atlanta, GA 30310
Phone (404) 756-1383

1155 W College St
Bainbridge, GA 39819
Phone (229) 243-0931

450 N Candler St
Decatur, GA 30030
Phone (404) 501-6100

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lawrence.wilson.1@15130.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 4

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": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1962633164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-756-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 COLISEUM DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312170104",
            "telephone_number": "404-729-4532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 NW 95th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331502038",
            "country_code": "US",
            "telephone_number": "305-928-7249 x101",
            "fax_number": "305-630-3632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAWRENCE",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "GA",
            "license": "66438",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "HI",
            "license": "17335",
            "primary": false
        },
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "CA",
            "license": "A131300",
            "primary": false
        },
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "HI",
            "license": "17335",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "4301095126",
            "primary": false
        },
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "GA",
            "license": "66438",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME128768",
            "primary": false
        },
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "MI",
            "license": "4301095126",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A131300",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD190651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.