MR. SAMUEL D WILSON III
NPI 1699692988
Student in an Organized Health Care Education/Training Program in Jefferson, GA

Active since June 30, 2026
86 EAGLE VIEW DR, JEFFERSON, GA 30549(719) 425-1077 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Samuel D Wilson Iii NPPES

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

MR. SAMUEL D WILSON III (NPI 1699692988) is an individual student in an organized health care education/training program in Jefferson, Georgia and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1699692988
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SAMUEL D WILSON III
Location Address86 EAGLE VIEW DRJefferson, GA 30549-7023
Mailing Address86 Eagle View DrJefferson, GA 30549-7023 · (719) 425-1077
Sole ProprietorYes
Enumeration DateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1699692988 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.

86 EAGLE VIEW DR, Jefferson, GA 30549

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 Samuel Wilson's NPI number?

The NPI number for Samuel Wilson is 1699692988. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Samuel Wilson located?

Samuel Wilson practices at 86 Eagle View Dr, Jefferson, GA 30549. The listed phone number is (719) 425-1077.

What is Samuel Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Wilson was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.