JOAN WILSON MD – NPI #1124097282
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

JOAN WILSON is a physician located in SOUTH BOSTON, VA. NPPES has assigned the NPI number 1124097282 to JOAN WILSON on March 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 4 years ago on Feb 17, 2022. 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 JOAN WILSON below.

NPI Profile for
JOAN WILSON

NPI Number
1124097282
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JOAN WILSON
Credentials
MD
Primary location
2212 WILBORN AVE
SOUTH BOSTON, VA 24592-1630
Phone: (434) 572-8921 Fax: (434) 572-2063
1 Other location(s):
2206 Wilborn Ave
South Boston, VA 24592-1630
Phone: (434) 517-8627
Fax: (434) 517-8080
Mailing address
159 EXECUTIVE DR
STE E
DANVILLE, VA 24541-4160
Phone: (434) 572-8921 Fax: (434) 572-2063
Sole Proprietor
No
Updated
Certification Date
Feb 17, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JOAN 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.

DescriptionIssuerStateIdentifier
OTHERBCBSVA240940
OTHEROPTIMAVA48092
MEDICAIDVA006207561
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
207V00000X
- Obstetrics & Gynecology (Primary)
VA 0101034828

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOAN WILSON is affiliated with the following medical group(s):
  • HOSPITAL
    • SENTARA HALIFAX REGIONAL HOSPITAL
      2204 WILBORN AVENUE
      SOUTH BOSTON, VA 24592

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.