CANDICE L. WILSON M.D. – NPI #1215997028
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CANDICE WILSON is a radiologist located in KNOXVILLE, TN. NPPES has assigned the NPI number 1215997028 to CANDICE WILSON on March 24, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Dec 04, 2025. 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 CANDICE WILSON below.

NPI Profile for
CANDICE L. WILSON

NPI Number
1215997028
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CANDICE L. WILSON
Credentials
M.D.
Primary location
1521 DOWNTOWN WEST BLVD
KNOXVILLE, TN 37919-5407
Phone: (865) 545-4592 Fax: (865) 693-8978
Mailing address
JHQMC MOUNTAIN HOME VA; RADIOLOGY DEPARTMENT
PO BOX 4000
MOUNTAIN HOME, TN 37684-4000
Phone: (423) 926-1171 Fax: (429) 979-3470
Sole Proprietor
No
Updated
Certification Date
Dec 04, 2025

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 CANDICE 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
otherBCBS OF TNTN4184755
otherCIGNATN9495633
otherFIRST HEALTHTN1882432
medicaidGA807388100
medicaidKY7100041970
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
TN 0000037867
174400000X
- Specialist
FL ME94386

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.