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JODI WILSON MD
NPI 1649021759
Student in an Organized Health Care Education/Training Program in Tallahassee, FL

Active since March 27, 2024PECOS Enrolled
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308(850) 431-8261 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jodi Wilson Md NPPES

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

JODI WILSON MD (NPI 1649021759) is an individual student in an organized health care education/training program in Tallahassee, Florida and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649021759
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJODI WILSONCredential: MD
Location Address1300 MICCOSUKEE RDTallahassee, FL 32308-5054
Mailing Address1300 Miccosukee RdTallahassee, FL 32308-5054 · (850) 431-8261
Phone(850) 431-8261
Sole ProprietorNo
Enumeration DateMarch 27, 2024
Last NPPES UpdateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1649021759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1300 MICCOSUKEE RD, Tallahassee, FL 32308
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jodi 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.

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.

RADIOLOGY ASSOCIATES OF TALLAHASSEE PA
Radiology (Diagnostic Radiology)
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-1155
PETER ANDREW TURNER PA
Physician Assistant
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-1155
RACHEL FAITH POSTON FNP
Nurse Practitioner
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-1155
ADAM CHONG JOO M.D.
Family Medicine
1300 MICCOSUKEE RD, HOSPITALIST GROUP
TALLAHASSEE, FL 32308
Leon County (850) 431-4996
DR. SHAHRZAD A ZAMANI DO
Student in an Organized Health Care Education/Training Program
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-8261
VARAK ROSDOM MANOOGIAN
Student in an Organized Health Care Education/Training Program
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-8261
BRIAN MENA REYES MD
Student in an Organized Health Care Education/Training Program
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-8261
MS. PAULINE BOHANNON
Speech-Language Pathologist
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-7112

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 Jodi Wilson's NPI number?

The NPI number for Jodi Wilson is 1649021759. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Jodi Wilson located?

Jodi Wilson practices at 1300 Miccosukee Rd, Tallahassee, FL 32308. The listed phone number is (850) 431-8261.

What is Jodi 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 Jodi Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jodi Wilson was last updated on June 25, 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.