DR. GARY KEITH WILSON PH.D.
NPI 1912022914
Psychologist - Clinical in Nashville, TN

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
510 E IRIS DR, SUITE B, NASHVILLE, TN 37204(615) 782-1490(615) 361-1102 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gary Keith Wilson Ph.d. NPPES

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

DR. GARY KEITH WILSON PH.D. (NPI 1912022914) is an individual clinical provider in Nashville, Tennessee, licensed in Tennessee (P0000000745) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1912022914
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GARY KEITH WILSONCredential: PH.D.
Location Address510 E IRIS DR, SUITE BNashville, TN 37204-3110
Mailing AddressPo Box 17856Nashville, TN 37217-0856 · (615) 782-1490 · Fax (615) 361-1102
Fax(615) 361-1102
Sole ProprietorYes
Medical School CMSOtherGraduated 1973
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1912022914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in TN · P0000000745
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
510 E IRIS DR, Nashville, TN 37204

Other Identifiers 1

Medicare ID-Type Unspecified3682700TN

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 and accepts Medicare assignment

Dr. Gary Keith Wilson Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486755246
PECOS Enrollment IDI20080130000759
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 37204 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Psychologist
510 E IRIS DR, UNIT B
NASHVILLE, TN 37204
Psychologist (Clinical)
510 E IRIS DR
NASHVILLE, TN 37204
Psychologist
510 E IRIS DR, B
NASHVILLE, TN 37204

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 Gary Wilson's NPI number?

The NPI number for Gary Wilson is 1912022914. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Gary Wilson located?

Gary Wilson practices at 510 E Iris Dr Suite B, Nashville, TN 37204. The listed phone number is (615) 782-1490.

What is Gary Wilson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gary Wilson enrolled in Medicare?

Yes. Gary Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gary Wilson accept?

Health plans from BlueCross BlueShield of Tennessee list Gary 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 Gary Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.