JOAN WILSON MD
NPI 1124097282
Obstetrics & Gynecology in South Boston, VA

Q: What is Joan Wilson's NPI number?

The NPI number for Joan Wilson is 1124097282. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Joan Wilson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Joan Wilson was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 14, 2006PECOS Enrolled

2212 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 572-8921(434) 572-2063 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 17, 2022, Feb 27, 2018 (2 updates tracked since 2018).

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About Joan Wilson Md NPPES

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

JOAN WILSON MD (NPI 1124097282) is an individual obstetrics & gynecology provider in South Boston, Virginia, licensed in Virginia (0101034828) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in South Boston.

NPPES Registry Identity

NPI1124097282

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJOAN WILSONCredential: MD

Location Address2212 WILBORN AVESouth Boston, VA 24592-1630

Mailing Address159 Executive Dr, Ste EDanville, VA 24541-4160 · (434) 572-8921 · Fax (434) 572-2063

Phone(434) 572-8921

Fax(434) 572-2063

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateFebruary 17, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2022

✔ NPI 1124097282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in VA · 0101034828

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2212 WILBORN AVE, South Boston, VA 24592

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Secondary Practice Location 1

Location 12206 Wilborn AveSouth Boston, VA 24592-1630 · Phone (434) 517-8627 · Fax (434) 517-8080

Other Identifiers 3

Medicaid006207561VA

Other240940VA · Bcbs

Other48092VA · Optima

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joan Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Joan Wilson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Halifax Regional Hospital, Inc.

0.1 mi

General Acute Care Hospital

2204 WILBORN AVE
South Boston, VA 24592

Reassigned Medicare billing, Virginia enrollment
44 clinicians in this Medicare group

NPI 1588668842 (434) 517-3100

Danville Physician Practices LLC

25 mi

Rural Health

404 AIRPORT DR STE A
Danville, VA 24540

Reassigned Medicare billing, Virginia enrollment
204 clinicians in this Medicare group

NPI 1770260499 (434) 799-3802

Ezephysical Therapy LLC

26 mi

Physical Therapist

141 N MAIN ST
Chase City, VA 23924

Reassigned Medicare billing, Virginia enrollment
7 clinicians in this Medicare group

NPI 1477047280 (586) 219-7872

Piedmont Access To Health Services Inc

28 mi

Federally Qualified Health Center (FQHC)

30 S MAIN ST
Chatham, VA 24531

Reassigned Medicare billing, Virginia enrollment
77 clinicians in this Medicare group

NPI 1558545269 (434) 432-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24592 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM ALLEN FULLER JR. MD

Surgery