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LARRY LEE WILSON MD
NPI 1356345094
Obstetrics & Gynecology in Supply, NC

Active since June 10, 2005PECOS Enrolled
14 DOCTORS CIR, SUITE 5, SUPPLY, NC 28462(910) 754-9166(910) 754-2972 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Larry Lee Wilson Md NPPES

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

LARRY LEE WILSON MD (NPI 1356345094) is an individual obstetrics & gynecology provider in Supply, North Carolina, licensed in North Carolina (200601686) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356345094
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameLARRY LEE WILSONCredential: MD
Location Address14 DOCTORS CIR, SUITE 5Supply, NC 28462-4097
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 754-9166 · Fax (704) 754-2972
Phone(910) 754-9166
Fax(910) 754-2972
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateJune 25, 2010
✔ NPI 1356345094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NC · 200601686✔ Licensed in SC · 16506
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.
14 DOCTORS CIR, Supply, NC 28462
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Other Identifiers 2

Medicare UPINE90300NC
MedicaidL10281SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larry Lee 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

4

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

Fetter Health Care Network, Inc.
114 mi
Federally Qualified Health Center (FQHC)
106 W MAIN ST
Moncks Corner, SC 29461
NPI 1659872059 (843) 761-1995
James T. Martin Jr. MD
125 mi
Specialist
9213 UNIVERSITY BLVD STE A, TRIDENT EXECUTIVE VILLAGE
North Charleston, SC 29406
  • Reassigned Medicare billing, South Carolina enrollment
  • 11 clinicians in this Medicare group
NPI 1679524888 (843) 572-7123
Uwh Of The Carolinas, PLLC
131 mi
Obstetrics & Gynecology
200 PERIMETER PARK DR STE B
Morrisville, NC 27560
  • Reassigned Medicare billing, South Carolina enrollment
  • 105 clinicians in this Medicare group
NPI 1639506470 (919) 334-0150
Obhg South Carolina PC
239 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • 190 clinicians in this Medicare group
NPI 1538457361 (800) 967-2289

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 28462 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 12

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

SUSAN KADY WILSON M.D.
Obstetrics & Gynecology
14 DOCTORS CIR, SUITE 5
SUPPLY, NC 28462
Brunswick County (910) 754-9166
MRS. ALICIA HOPE TYNDALL FNP-BC
Nurse Practitioner (Family)
14 DOCTORS CIR, SUITE 3
SUPPLY, NC 28462
Brunswick County (910) 754-7075
MS. MARY BETH BARNA PNP-BC
Nurse Practitioner (Pediatrics)
14 DOCTORS CIR, SUITE 3
SUPPLY, NC 28462
Brunswick County (910) 754-7075
INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC
Podiatrist (Foot & Ankle Surgery)
14 DOCTORS CIR, SUITE 2
SUPPLY, NC 28462
Brunswick County (910) 755-6512
BRUNSWICK FOOT & ANKLE SURGERY
Clinic/Center (Podiatric)
14 DOCTORS CIR, SUITE 2
SUPPLY, NC 28462
Brunswick County (919) 751-9120
DR. JOSEPH F KIBLER DPM
Podiatrist (Primary Podiatric Medicine)
14 DOCTORS CIR, SUITE 2
SUPPLY, NC 28462
Brunswick County (910) 755-6512
NORTH CAROLINA PHYSICIAN NETWORK, INC.
Obstetrics & Gynecology
14 DOCTORS CIR, SUITE 5
SUPPLY, NC 28462
Brunswick County (910) 754-9166
CATARACT CONSULTANTS PA
Ophthalmology
14 DOCTORS CIR, SUITE 1
SUPPLY, NC 28462
Brunswick County (910) 256-4899

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 Larry Wilson's NPI number?

The NPI number for Larry Wilson is 1356345094. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Larry Wilson located?

Larry Wilson practices at 14 Doctors Cir Suite 5, Supply, NC 28462. The listed phone number is (910) 754-9166.

What is Larry Wilson's specialty?

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

Is Larry Wilson enrolled in Medicare?

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

Which organizations bill Medicare for Larry Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Wilson reassigns Medicare benefits to 4 organizations: Fetter Health Care Network, Inc. (Moncks Corner, SC), James T. Martin Jr. MD (North Charleston, SC), Uwh Of The Carolinas, PLLC (Morrisville, NC) and Obhg South Carolina PC (Greenville, SC). Each 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 Larry Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larry Wilson accept?

Health plans from First Choice Next list Larry 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 Larry Wilson was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.