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MR. WILLIAM CARROLL WILSON PA-C, MMSC.
NPI 1497045728
Physician Assistant - Medical in Chattanooga, TN

Active since April 07, 2011PECOS Enrolled
281 N LYERLY ST STE 200, CHATTANOOGA, TN 37404(423) 698-0850(423) 698-0511 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2024, Nov 19, 2019, Mar 24, 2016 (3 updates tracked since 2016).

About Mr. William Carroll Wilson Pa-c, Mmsc. NPPES

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

MR. WILLIAM CARROLL WILSON PA-C, MMSC. (NPI 1497045728) is an individual medical provider in Chattanooga, Tennessee, licensed in Tennessee (PA0000001053) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chattanooga.

NPPES Registry Identity

NPI1497045728
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. WILLIAM CARROLL WILSONCredential: PA-C, MMSC.
Location Address281 N LYERLY ST STE 200Chattanooga, TN 37404-2728
Mailing Address281 N Lyerly St Ste 200Chattanooga, TN 37404-2728 · (423) 698-0850
Phone(423) 698-0850
Fax(423) 698-0511
Sole ProprietorNo
Enumeration DateApril 7, 2011
Last NPPES UpdateMay 17, 20243 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1497045728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TN · PA0000001053
281 N LYERLY ST STE 200, Chattanooga, TN 37404
Open in Google Maps ↗

Secondary Practice Location 1

Location 12000 Stein DrChattanooga, TN 37421-7217 · Phone (423) 648-8480

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William Carroll Wilson Pa-c, Mmsc. 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.

Other Providers at the Same Location NPPES 10

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

LESLIE BRAY NP
Nurse Practitioner (Family)
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Hamilton County (423) 698-0850
SANDRA DAVIS KAPLAN MD
Pain Medicine (Pain Medicine)
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Hamilton County (423) 698-0850
JASON EDWARD THERRIEN PT, DPT
Physical Therapist (Geriatrics)
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Hamilton County (423) 698-0850
KEVIN SMITH MD
Anesthesiology (Pain Medicine)
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Hamilton County (423) 688-0850
SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES
Prosthetic/Orthotic Supplier
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Hamilton County (423) 698-0850
SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES
Pain Medicine (Interventional Pain Medicine)
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Hamilton County (423) 698-0850
BROOKE DEMASTUS
Nurse Practitioner
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Hamilton County (423) 698-0850
VIRGINIA D WINN-COOPER LCSW
Social Worker (Clinical)
281 N LYERLY ST STE 200
CHATTANOOGA, TN 37404
Hamilton County (423) 698-0850

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 William Wilson's NPI number?

The NPI number for William Wilson is 1497045728. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is William Wilson located?

William Wilson practices at 281 N Lyerly St Ste 200, Chattanooga, TN 37404. The listed phone number is (423) 698-0850.

What is William Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is William Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for William Wilson was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.