DR. JOHN KEDDY WILSON M.D.
NPI 1679689897
Psychiatry & Neurology - Psychiatry in Annandale, VA

Q: What is John Wilson's NPI number?

The NPI number for John Wilson is 1679689897. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is John Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for John Wilson was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment

3300 WOODBURN RD, ANNANDALE, VA 22003(703) 205-9452(703) 208-0714 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. John Keddy Wilson M.d. NPPES

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

DR. JOHN KEDDY WILSON M.D. (NPI 1679689897) is an individual psychiatry provider in Annandale, Virginia, licensed in Virginia (0101232930) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (1998).

NPPES Registry Identity

NPI1679689897

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JOHN KEDDY WILSONCredential: M.D.

Location Address3300 WOODBURN RDAnnandale, VA 22003-1202

Mailing Address3300 Woodburn RdAnnandale, VA 22003-1202 · (703) 205-9452 · Fax (703) 208-0714

Phone(703) 205-9452

Fax(703) 208-0714

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1998

Enumeration DateAugust 21, 2006

Last NPPES UpdateFebruary 13, 2013

✔ NPI 1679689897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in VA · 0101232930

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3300 WOODBURN RD, Annandale, VA 22003

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Other Identifiers 2

Medicare ID-Type Unspecified010899M25

Medicare UPINH79537

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Keddy Wilson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860665072

PECOS Enrollment IDI20111103000801

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

84 services17 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

45 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22003 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

$194.86 typical visit price

range $65.18 – $194.86

Typical copayment $48.71 (range $16.29 – $48.71)

Most-billed visit code 99205

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

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Other Providers at the Same Location NPPES 7

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

KATRICE GOFF

Social Worker (Clinical)