DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1275529976

NPI Code Detail

MEDICARE: DR. JAMES KIRK WILSON MD

MEDICARE: DR. JAMES KIRK WILSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	90171	NC
2	207L00000X	Anesthesiology Physician	G8513	TX
3	207L00000X	Anesthesiology Physician	032679	GA
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	200001633	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	12719	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1275529976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES KIRK WILSON MD

Provider Business Mailing Address
First Line	:	PO BOX 4174
Second Line	:
City	:	ASHEBORO
State	:	NC
Zip	:	27204-4174
Country	:	US
Telephone Number	:	336-683-5284
Fax Number	:	336-683-5279

Provider Business Practice Location Address
First Line	:	364 WHITE OAK ST
Second Line	:
City	:	ASHEBORO
State	:	NC
Zip	:	27203-5434
Country	:	US
Telephone Number	:	336-683-5284
Fax Number	:	336-683-5279

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	05/06/2008

Similar Medicare Providers

1316034044 — RICHARD E DATA M.D.
Practice Location Address:

364 WHITE OAK ST
ASHEBORO, NC
27203-5434

Practice Phone: 336-328-4100
Practice Fax:

1568463735 — DR. DAVID GOODWIN WILLIAMS MD
Practice Location Address:

364 WHITE OAK ST
ASHEBORO, NC
27203-5434

Practice Phone: 336-629-6565
Practice Fax: 336-626-5640

1538160072 — RANDALL SCOTT TEAGUE MD
Practice Location Address:

364 WHITE OAK ST
ASHEBORO, NC
27203-5434

Practice Phone: 336-629-6565
Practice Fax: 336-626-5640

1891796330 — RICKY DUANE LYERLY MD
Practice Location Address:

364 WHITE OAK ST
ASHEBORO, NC
27203-5434

Practice Phone: 336-629-6565
Practice Fax: 336-626-5640

1902892839 — MR. JOSEPH CARLOS CONRAD CRNA
Practice Location Address:

364 WHITE OAK ST
ASHEBORO, NC
27203-5434

Practice Phone: 336-683-5284
Practice Fax: 336-683-5279

1770579609 — DR. PETER MARTIN CARIGNAN MD
Practice Location Address:

364 WHITE OAK ST , ANESTHESIA DEPARTMENT
ASHEBORO, NC
27203-5434

Practice Phone: 336-683-5284
Practice Fax: 336-683-5279

Directions to “ DR. JAMES KIRK WILSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.