1. Home
  2. Directory
  3. North Carolina
  4. Clinton
  5. Family Medicine
  6. NPI Profile

ROBERT ALLEN WILSON MD
NPI 1629189279
Family Medicine in Clinton, NC

Active since August 31, 2006PECOS Enrolled
120 SOUTHWOOD DR, CLINTON, NC 28328(910) 592-7981 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 10, 2025, Sep 24, 2020 (2 updates tracked since 2020).

About Robert Allen Wilson Md NPPES

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

ROBERT ALLEN WILSON MD (NPI 1629189279) is an individual family medicine provider in Clinton, North Carolina, licensed in North Carolina (NC3312) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629189279
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT ALLEN WILSONCredential: MD
Location Address120 SOUTHWOOD DRClinton, NC 28328-5002
Mailing Address328 Ne 48th StOak Island, NC 28465-5305 · (919) 593-3402
Phone(910) 592-7981
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1629189279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · NC3312
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
120 SOUTHWOOD DR, Clinton, NC 28328
Open in Google Maps ↗

Other Identifiers 2

Other128FTNC · Bcbs Provider Number
Medicaid89128FTNC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Allen 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

2

Medicare enrollment records show Robert Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Goshen Medical Center, Inc
2.4 mi
Federally Qualified Health Center (FQHC)
408 FAIRVIEW ST
Clinton, NC 28328
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Goshen Medical Center Incorporated
  • 173 clinicians in this Medicare group
NPI 1023424686 (910) 596-2400
Cs Pacs 3 Southeast, LLC
226 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, North Carolina enrollment
  • 181 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485

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 28328 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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 5

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

JANICE AUSTRIA
Physical Therapist
120 SOUTHWOOD DR
CLINTON, NC 28328
Sampson County (910) 299-3681
LIBERTY HEALTHCARE GROUP LLC
Assisted Living Facility
120 SOUTHWOOD DR
CLINTON, NC 28328
Sampson County (910) 592-7981
LIBERTY HEALTHCARE GROUP LLC
Skilled Nursing Facility
120 SOUTHWOOD DR
CLINTON, NC 28328
Sampson County (910) 592-7981
LIBERTY MEDICAL TRANSPORTATION, LLC
Non-emergency Medical Transport (VAN)
120 SOUTHWOOD DR
CLINTON, NC 28328
Sampson County (910) 815-3122
BETSY THORNTON RN
Registered Nurse
120 SOUTHWOOD DR
CLINTON, NC 28328
Sampson County (910) 592-7981

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 Robert Wilson's NPI number?

The NPI number for Robert Wilson is 1629189279. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Robert Wilson located?

Robert Wilson practices at 120 Southwood Dr, Clinton, NC 28328. The listed phone number is (910) 592-7981.

What is Robert Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Wilson enrolled in Medicare?

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

Which organizations bill Medicare for Robert Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Wilson reassigns Medicare benefits to 2 organizations: Goshen Medical Center, Inc (Clinton, NC) and Cs Pacs 3 Southeast, LLC (Bluefield, WV). 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 Robert Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Wilson was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.