JOHN D. WILSON MD – NPI #1679673560
Emergency Medicine

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

JOHN WILSON is a physician located in GREENVILLE, SC. NPPES has assigned the NPI number 1679673560 to JOHN WILSON on September 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207PP0204X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Pediatric Emergency Medicine

The NPI profile was previously updated about 8 years ago on Jul 26, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN WILSON below.

NPI Profile for
JOHN D. WILSON

NPI Number
1679673560
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN D. WILSON
Credentials
MD
Primary location
701 GROVE RD
ER ADMINISTRATION
GREENVILLE, SC 29605
Phone: (864) 455-6372 Fax:
Mailing address
1 INDEPENDENCE PT STE 212
GREENVILLE, SC 29615-4536
Phone: (864) 797-6174 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOHN WILSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNASC576007863
OTHERBCBSSC576007863
OTHERBLUE CHOICESC576007863
OTHERMEDICARE RAILROADSC930129083
OTHERSELECT HEATLTHSC20004420
OTHERUHCSC576007863
MEDICAIDSC144695
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PP0204X
- Emergency Medicine / Pediatric Emergency Medicine (Primary)
SC 14469

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.