MRS. DEMECKA WILSON
NPI 1114388568
Case Manager/Care Coordinator in Fayette, MS

Active since March 14, 2016
1138 PUFFER RD, FAYETTE, MS 39069(601) 472-2310 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2021, Mar 14, 2016 (2 updates tracked since 2016).

About Mrs. Demecka Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEMECKA WILSON (NPI 1114388568) is an individual case manager/care coordinator provider in Fayette, Mississippi and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1114388568
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMRS. DEMECKA WILSON
Location Address1138 PUFFER RDFayette, MS 39069-5133
Mailing Address1644 B Carter Street Suite 2Vidalia, LA 71373 · (318) 414-3065 · Fax (318) 414-3067
Sole ProprietorNo
Enumeration DateMarch 14, 2016
Last NPPES UpdateJuly 30, 20212 updates tracked since enumeration
NPPES CertifiedJuly 30, 2021
NPI 1114388568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1138 PUFFER RD, Fayette, MS 39069

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demecka Wilson's NPI number?

The NPI number for Demecka Wilson is 1114388568. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Where is Demecka Wilson located?

Demecka Wilson practices at 1138 Puffer Rd, Fayette, MS 39069. The listed phone number is (601) 472-2310.

What is Demecka Wilson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Demecka Wilson was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.