1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Physician Assistant
  6. NPI Profile

ANNIE WILSON PA-C
NPI 1174904510
Physician Assistant in Lexington, KY

Active since June 11, 2015
1401 HARRODSBURG RD STE C100, LEXINGTON, KY 40504(859) 278-4960(859) 277-2840 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2019, Jun 20, 2018, Mar 19, 2018 (3 updates tracked since 2018).

About Annie Wilson Pa-c NPPES

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

ANNIE WILSON PA-C (NPI 1174904510) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA2341) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1174904510
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNIE WILSONCredential: PA-C
Location Address1401 HARRODSBURG RD STE C100Lexington, KY 40504-1780
Mailing AddressPo Box 936London, KY 40743-0936
Phone(859) 278-4960
Fax(859) 277-2840
Sole ProprietorNo
Enumeration DateJune 11, 2015
Last NPPES UpdateJuly 3, 20193 updates tracked since enumeration
✔ NPI 1174904510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA2341
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1401 HARRODSBURG RD STE C100, Lexington, KY 40504
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100517210KY

Other Providers at the Same Location NPPES

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

MEGAN LEILA SUE RUTIGLIANO PA-C
Physician Assistant
1401 HARRODSBURG RD STE C100
LEXINGTON, KY 40504
Fayette County (859) 278-4960

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 Annie Wilson's NPI number?

The NPI number for Annie Wilson is 1174904510. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Annie Wilson located?

Annie Wilson practices at 1401 Harrodsburg Rd Ste C100, Lexington, KY 40504. The listed phone number is (859) 278-4960.

What is Annie Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Annie Wilson was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.