JOSEPH WILSON
NPI 1548623770
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 04, 2016PECOS Enrolled
1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 778-7777 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph Wilson NPPES

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

JOSEPH WILSON (NPI 1548623770) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548623770
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSEPH WILSON
Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059
Mailing Address25 Wilson WayBowdon, GA 30108-2151
Sole ProprietorNo
Enumeration DateApril 4, 2016
NPI 1548623770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1364 CLIFTON RD NE, Atlanta, GA 30322

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joseph Wilson 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 20

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

Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Critical Care)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiology (Critical Care Medicine)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Anesthesiologist Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322

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 Joseph Wilson's NPI number?

The NPI number for Joseph Wilson is 1548623770. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Joseph Wilson located?

Joseph Wilson practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-7777.

What is Joseph Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joseph Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joseph Wilson was last updated on April 4, 2016. 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.