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DEMETIRUS LEGAIL WILSON
NPI 1699250225
Home Health Aide in Ringgold, GA

Active since September 28, 2018
73 MALLARD HL, RINGGOLD, GA 30736(423) 503-4507 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2024, Sep 28, 2018 (2 updates tracked since 2018).

About Demetirus Legail Wilson NPPES

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

DEMETIRUS LEGAIL WILSON (NPI 1699250225) is an individual home health aide in Ringgold, Georgia, licensed in Tennessee (066777) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1699250225
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameDEMETIRUS LEGAIL WILSON
Location Address73 MALLARD HLRinggold, GA 30736-4964
Mailing Address3584 Bennett RdEast Ridge, TN 37412-1167 · (423) 635-8738
Phone(423) 503-4507
Sole ProprietorYes
Enumeration DateSeptember 28, 2018
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1699250225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in TN · 066777
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
73 MALLARD HL, Ringgold, GA 30736
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Other Identifiers 1

Other474763392TN · City Of Chattanooga

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Demetirus Wilson's NPI number?

The NPI number for Demetirus Wilson is 1699250225. It was assigned to this individual provider in the NPPES registry on September 28, 2018.

Where is Demetirus Wilson located?

Demetirus Wilson practices at 73 Mallard Hl, Ringgold, GA 30736. The listed phone number is (423) 503-4507.

What is Demetirus Wilson's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Demetirus Wilson was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.