1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Case Manager Care Coordinator
  6. NPI Profile

TRAVAUGHN WILSON
NPI 1902452154
Case Manager/Care Coordinator in Jackson, MS

Active since August 14, 2019
460 BRIARWOOD DR STE 510, JACKSON, MS 39206(601) 956-4816(601) 956-4817 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Travaughn Wilson NPPES

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

TRAVAUGHN WILSON (NPI 1902452154) is an individual case manager/care coordinator provider in Jackson, Mississippi and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1902452154
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameTRAVAUGHN WILSON
Location Address460 BRIARWOOD DR STE 510Jackson, MS 39206-3057
Mailing Address460 Briarwood Dr Ste 510Jackson, MS 39206-3057 · (601) 956-4816 · Fax (601) 956-4817
Phone(601) 956-4816
Fax(601) 956-4817
Sole ProprietorNo
Enumeration DateAugust 14, 2019
✔ NPI 1902452154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
460 BRIARWOOD DR STE 510, Jackson, MS 39206
Open in Google Maps ↗

Other Identifiers 1

Medicaid01670076MS

Other Providers at the Same Location NPPES 20

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

MARSHEA COOPER
Case Manager/Care Coordinator
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
MARION COUNSELING SERVICES, PLLC
Counselor (Mental Health)
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
DONTRICE TYLER
Case Manager/Care Coordinator
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
MASHARA S COOK
Case Manager/Care Coordinator
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
JAMMAYETTE WASHINGTON
Counselor (Mental Health)
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
ERICA JENKINS
Case Manager/Care Coordinator
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
ERIC KNOX
Counselor (Mental Health)
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816
KIERRA NICOLE FALKNER CMHT
Counselor (Mental Health)
460 BRIARWOOD DR STE 510
JACKSON, MS 39206
Hinds County (601) 956-4816

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 Travaughn Wilson's NPI number?

The NPI number for Travaughn Wilson is 1902452154. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Travaughn Wilson located?

Travaughn Wilson practices at 460 Briarwood Dr Ste 510, Jackson, MS 39206. The listed phone number is (601) 956-4816.

What is Travaughn Wilson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Travaughn Wilson was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.