Active NPI
Veronica Monique Wilson
- Attendant Care Provider
- Hinesville, GA
National Provider Identifier
1972257244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 172 Zorn Rd
Hinesville, GA 31313-6902 - Phone
- (912) 876-4790
- NPI assigned
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | GA | Primary |
Addresses
Primary practice location
172 Zorn Rd
Hinesville, GA 31313-6902
Mailing address
377 S Mahogany St
Jesup, GA 31546-5159
Phone (912) 439-9663
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1972257244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 S MAHOGANY ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315465159",
"telephone_number": "912-439-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 ZORN RD",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313136902",
"telephone_number": "912-876-4790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "VERONICA",
"middle_name": "MONIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.