EBONY LOGAN WILSON PHLEBOTOMIST, INS – NPI #1851285654
Technician, Pathology

EBONY LOGAN WILSON is a pathology technician located in SMITH STATION, AL. NPPES has assigned the NPI number 1851285654 to EBONY LOGAN WILSON on June 05, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

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 EBONY LOGAN WILSON below.

NPI Profile for
EBONY LOGAN WILSON

NPI Number
1851285654
Enumeration Date

(about a year ago)
Entity Type
Type-1  Individual (Female)
Legal Name
EBONY LOGAN WILSON
Professional Name: EBONY LOGAN WILSON
Credentials
PHLEBOTOMIST, INS
Primary location
223 PARADISE DRIVE
SMITH STATION, AL 36877
Phone: (334) 219-0308 Fax:
Mailing address
3515 SUMMERVILLE RD
PHENIX CITY, AL 36867-2628
Phone: (334) 614-2132 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 05, 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.

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
246RP1900X
- Technician, Pathology / Phlebotomy (Primary)
GA NAPTP5057396062

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.