John Wells Wilson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25140 Issued in AL

Practice address

188 Hospital Dr Ste 205
Fairhope, AL 36532-2038

Phone

(251) 990-9191

Fax

(251) 990-9189

NPI assigned

Oct 5, 2006

Last updated

May 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

General Surgery

Education

University of Missouri, Columbia School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imc-Cancer Surgery of Mobile, LLCGroup PAC ID 1557550589, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Merit-based Incentive Payment System (MIPS)

Final score

95.26 of 100Reported as group

Promoting interoperability

93

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.853
• Direct secure messaging: jwilson25364@directinfirmaryhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Imc-Cancer Surgery of Mobile, LLC

  • Surgical Oncology Physician
  • Mobile, AL
  • NPI 1063714012
  Medicare reassignment Care Compare group NPD
• South Alabama Radiation Oncology, PC

  dba Gulf Coast Cancer Center

  • Radiation Oncology Physician
  • Foley, AL
  • NPI 1841384138
  NPD (past)
• Brookhaven Surgery Clinic P.a.

  • Surgery Physician
  • Brookhaven, MS
  • NPI 1760578736
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gulf Health Hospitals, Inc

  dba Thomas Hospital

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1982790010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1105",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36533",
            "telephone_number": "251-990-9191",
            "fax_number": "251-990-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL DR STE 205",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322038",
            "telephone_number": "251-990-9191",
            "fax_number": "251-990-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOHN",
        "middle_name": "WELLS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "25140",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "12762",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "25140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016861",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911601",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Martin Williams
• Kierstein Williams, PHARMD
• Mary Elizabeth Crabtree Williams
• Willow Bay Pediatric Physical Therapy LLC (Willow Bay Pediatric Physical Therapy)
• Jo Ann B. Wills, CRNA
• William T Wilson, DDS
• Laura Lasecki Wimmer, DPM
• Nathaniel Scott Winstead, MD
• Stephen E Winston, MD
• Steven Philip Wittmer, MD

• Surgery Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.