MATTHEW BLAKE WILSON
NPI 1871066456
Counselor - Professional in Savannah, TN

Active since January 07, 2019PECOS Enrolled
175 ENOCH BLVD, SAVANNAH, TN 38372(731) 925-2300 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2021, Jan 7, 2019 (2 updates tracked since 2019).

About Matthew Blake Wilson NPPES

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

MATTHEW BLAKE WILSON (NPI 1871066456) is an individual professional provider in Savannah, Tennessee, licensed in Tennessee (4461) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871066456
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW BLAKE WILSON
Location Address175 ENOCH BLVDSavannah, TN 38372-2240
Mailing AddressPo Box 655Savannah, TN 38372-0655 · (731) 925-2300
Sole ProprietorNo
Enumeration DateJanuary 7, 2019
Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1871066456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TN · 4461
175 ENOCH BLVD, Savannah, TN 38372

Accepted 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)

Matthew Blake Wilson 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.

Other Providers at the Same Location NPPES 17

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

Clinic/Center (Federally Qualified Health Center (FQHC))
175 ENOCH BLVD
SAVANNAH, TN 38372
Nurse Practitioner (Pediatrics)
175 ENOCH BLVD
SAVANNAH, TN 38372
Family Medicine
175 ENOCH BLVD
SAVANNAH, TN 38372
Family Medicine
175 ENOCH BLVD
SAVANNAH, TN 38372
Nurse Practitioner (Psychiatric/Mental Health)
175 ENOCH BLVD
SAVANNAH, TN 38372
Family Medicine
175 ENOCH BLVD
SAVANNAH, TN 38372
Nurse Practitioner (Family)
175 ENOCH BLVD
SAVANNAH, TN 38372
Nurse Practitioner (Family)
175 ENOCH BLVD
SAVANNAH, TN 38372

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 Matthew Wilson's NPI number?

The NPI number for Matthew Wilson is 1871066456. It was assigned to this individual provider in the NPPES registry on January 7, 2019.

Where is Matthew Wilson located?

Matthew Wilson practices at 175 Enoch Blvd, Savannah, TN 38372. The listed phone number is (731) 925-2300.

What is Matthew Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Matthew Wilson enrolled in Medicare?

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

What insurance does Matthew Wilson accept?

Health plans from BlueCross BlueShield of Tennessee list Matthew 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 Matthew Wilson was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.