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PAUL S WILSON MD LLC
NPI 1952907578
Internal Medicine in Shreveport, LA

Active since December 09, 2020
595 UNADILLA ST, SHREVEPORT, LA 71106(318) 455-8841 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2021, Dec 9, 2020 (2 updates tracked since 2020).

About Paul S Wilson Md Llc NPPES

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

PAUL S WILSON MD LLC (NPI 1952907578) is a healthcare organization registered as an internal medicine in Shreveport, Louisiana and active in the NPI registry since December 2020. The organization lists Paul S Wilson, Member, as its authorized official.

NPPES Registry Identity

NPI1952907578
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePAUL S WILSON MD LLC
Location Address595 UNADILLA STShreveport, LA 71106-1239
Mailing Address595 Unadilla StShreveport, LA 71106-1239
Phone(318) 455-8841
Organization SubpartNo
Authorized OfficialPaul S WilsonMember · (318) 455-8841
Enumeration DateDecember 9, 2020
Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
✔ NPI 1952907578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
595 UNADILLA ST, Shreveport, LA 71106
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Other Identifiers 1

Medicaid1911879LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul S Wilson Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Paul S Wilson MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Wilson, MD
Internal Medicine
NPI 1902838105
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
Shreveport, LA 71105
(318) 212-3520
✔ PECOS✔ Accepts Medicare2.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Paul S Wilson MD LLC's NPI number?

The NPI number for Paul S Wilson MD LLC is 1952907578. It was assigned to this organization in the NPPES registry on December 9, 2020.

Where is Paul S Wilson MD LLC located?

Paul S Wilson MD LLC is located at 595 Unadilla St, Shreveport, LA 71106. The listed phone number is (318) 455-8841.

What is Paul S Wilson MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul S Wilson MD LLC enrolled in Medicare?

Yes. Paul S Wilson MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paul S Wilson MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Paul S Wilson MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Paul S Wilson MD LLC was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.