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DR. KELLY BROOKS WILSON DDS
NPI 1841330768
Dentist - General Practice in Charlotte, NC

Active since February 08, 2007PECOS Enrolled
2201 S BLVD, SUITE 210, CHARLOTTE, NC 28203(704) 333-4760 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelly Brooks Wilson Dds NPPES

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

DR. KELLY BROOKS WILSON DDS (NPI 1841330768) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (8162) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841330768
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY BROOKS WILSONCredential: DDS
Location Address2201 S BLVD, SUITE 210Charlotte, NC 28203-6208
Mailing Address2904 Textile WayCharlotte, NC 28205-1265 · (704) 564-3285
Phone(704) 333-4760
Sole ProprietorYes
Enumeration DateFebruary 8, 2007
Last NPPES UpdateNovember 1, 2012
✔ NPI 1841330768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 8162
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2201 S BLVD, Charlotte, NC 28203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of North Carolina, Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Brooks Wilson Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Kelly Wilson's NPI number?

The NPI number for Kelly Wilson is 1841330768. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Kelly Wilson located?

Kelly Wilson practices at 2201 S Blvd Suite 210, Charlotte, NC 28203. The listed phone number is (704) 333-4760.

What is Kelly Wilson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kelly Wilson enrolled in Medicare?

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

What insurance does Kelly Wilson accept?

Health plans from Delta Dental of North Carolina and Humana list Kelly Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Wilson was last updated on November 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.