Healthcare Provider Details

I. General information

NPI: 1164517868
Provider Name (Legal Business Name): JOHN W WILKINSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6515 NIGHTINGALE LN
KNOXVILLE TN
37909-2753
US

IV. Provider business mailing address

1275 DICK LONAS RD UNIT 101
KNOXVILLE TN
37909-1383
US

V. Phone/Fax

Practice location:
  • Phone: 865-588-3525
  • Fax: 844-749-3070
Mailing address:
  • Phone: 865-584-4747
  • Fax: 865-381-1509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number37403
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: