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