1. Home
  2. Directory
  3. Mississippi
  4. Meridian
  5. Psychologist
  6. NPI Profile

DR. RODNEY WILSON PHD
NPI 1174954432
Psychologist - Clinical in Meridian, MS

Active since December 11, 2013
1800 12TH ST, MERIDIAN, MS 39301(601) 703-4366(601) 703-4064 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Rodney Wilson Phd NPPES

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

DR. RODNEY WILSON PHD (NPI 1174954432) is an individual clinical provider in Meridian, Mississippi, licensed in Mississippi (54949) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1174954432
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RODNEY WILSONCredential: PHD
Location Address1800 12TH STMeridian, MS 39301-4158
Mailing AddressPo Box 5183Meridian, MS 39302-5183 · (601) 703-4282 · Fax (601) 703-4597
Phone(601) 703-4366
Fax(601) 703-4064
Sole ProprietorNo
Enumeration DateDecember 11, 2013
Last NPPES UpdateDecember 3, 2015
✔ NPI 1174954432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in MS · 54949✔ Licensed in AL · 1972
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1800 12TH ST, Meridian, MS 39301
Open in Google Maps ↗

Other Identifiers 1

Medicaid00579380MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rodney Wilson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Rodney Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siskin Hospital For Physical Rehabilitation
269 mi
Rehabilitation Hospital
1 SISKIN PLZ
Chattanooga, TN 37403
  • Reassigned Medicare billing, Tennessee enrollment
  • 6 clinicians in this Medicare group
NPI 1356388227 (423) 634-1200

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

Other Providers at the Same Location NPPES 20

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

AMANDA DANIELLE SIMPSON
Nurse Practitioner
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 484-6700
PATTI SUZANNE WEAVER ACNP
Nurse Practitioner (Acute Care)
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 703-4065
JAMEY D. ROBERTS CRNA
Nurse Anesthetist, Certified Registered
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 703-9687
RUSH MEDICAL FOUNDATION
Pharmacy (Community/Retail Pharmacy)
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 484-2757
DR. RALPH E. WILLIAMS M.D.
Radiology (Diagnostic Radiology)
1800 12TH ST, RUSH MEDICAL GROUP INC.
MERIDIAN, MS 39301
Lauderdale County (601) 703-9544
DR. ADAM M PARKER M.D.
Internal Medicine (Gastroenterology)
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 484-6700
ALISHA L MILLER FNP
Nurse Practitioner (Family)
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 703-4600
DR. MORGAN ALYSE BOSWELL D.O.
Obstetrics & Gynecology
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 484-6700

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 Rodney Wilson's NPI number?

The NPI number for Rodney Wilson is 1174954432. It was assigned to this individual provider in the NPPES registry on December 11, 2013.

Where is Rodney Wilson located?

Rodney Wilson practices at 1800 12th St, Meridian, MS 39301. The listed phone number is (601) 703-4366.

What is Rodney Wilson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Rodney Wilson enrolled in Medicare?

Yes. Rodney Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rodney Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodney Wilson reassigns Medicare benefits to Siskin Hospital For Physical Rehabilitation (Chattanooga, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rodney Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rodney Wilson accept?

Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Rodney Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rodney Wilson was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.