SAM WILCOX II M.D.
NPI 1275535916
Specialist in Gastonia, NC

Q: What is Sam Wilcox's NPI number?

The NPI number for Sam Wilcox is 1275535916. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Q: What is Sam Wilcox's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Sam Wilcox was last updated on March 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 August 12, 2005PECOS Enrolled

1225 E GARRISON BLVD, GASTONIA, NC 28054(704) 865-7416(704) 865-7232 Get Directions Write a Review

NPPES record last updated: March 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Sam Wilcox Ii M.d. NPPES

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

SAM WILCOX II M.D. (NPI 1275535916) is an individual specialist in Gastonia, North Carolina, licensed in North Carolina (200500314) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275535916

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameSAM WILCOX IICredential: M.D.

Location Address1225 E GARRISON BLVDGastonia, NC 28054-5115

Mailing Address1225 E Garrison BlvdGastonia, NC 28054-5115 · (704) 865-7416 · Fax (704) 865-7232

Phone(704) 865-7416

Fax(704) 865-7232

Sole ProprietorNo

Enumeration DateAugust 12, 2005

Last NPPES UpdateMarch 16, 2009

✔ NPI 1275535916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NC · 200500314

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1225 E GARRISON BLVD, Gastonia, NC 28054

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINI34311NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sam Wilcox Ii M.d. 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.

Leave this field empty

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.

KRYSTA DANIELLE COUSINO

Advanced Practice Midwife