MAXIE WILSON DO
NPI 1235692203
Pediatrics in Tuscumbia, AL

Q: What is Maxie Wilson's NPI number?

The NPI number for Maxie Wilson is 1235692203. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Q: What is Maxie Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Maxie Wilson was last updated on March 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2019

234 KELLER PARK BLVD, TUSCUMBIA, AL 35674(256) 381-6963 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 1, 2023, Apr 8, 2019 (2 updates tracked since 2019).

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About Maxie Wilson Do NPPES

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

MAXIE WILSON DO (NPI 1235692203) is an individual pediatrics provider in Tuscumbia, Alabama, licensed in Alabama (DO.3041) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1235692203

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMAXIE WILSONCredential: DO

Location Address234 KELLER PARK BLVDTuscumbia, AL 35674-1417

Mailing Address234 Keller Park BlvdTuscumbia, AL 35674-1417 · (256) 381-6963 · Fax (860) 679-4624

Phone(256) 381-6963

Sole ProprietorNo

Enumeration DateApril 8, 2019

Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration

NPPES CertifiedMarch 1, 2023

✔ NPI 1235692203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AL · DO.3041

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License DO.3041 (AL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

234 KELLER PARK BLVD, Tuscumbia, AL 35674

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

DR. SRIHARI DAS KANURU MD

Pediatrics