DR. MICHAEL D WILSON (NPI# 1013000801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013000801 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D WILSON |
| Credential | MD |
| Practice Address |
1104 Professional Blvd Dalton GA 30720-2588 |
| Practice Telephone | 7062265533 |
| Practice Fax Number | 7064280033 |
| Mailing Telephone | 7062265533 |
| Mailing Fax Number | 7065295858 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 041498 | GA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
041498 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS EDI | 927802 | 01 |
| GA | 00869525B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203537 | Michael John Wilson | Clinical Neuropsychologist | 9301 Madison St Rm 369, Crown Point, IN 46307-7745 | 2019-06-11 |
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1891201604 | Michael Paul Wilson | Technician/Technologist | 324 Garden Rd, Springfield, PA 19064-3505 | 2017-12-18 |
| 1659897536 | Michael Wilson | Driver | 1628 Bucktown Dr, Danville, VA 24543 | 2017-08-22 |
| 1386096501 | Michael Wilson | Home Health | 596 North Hawkins Ave, Akron, OH 44313 | 2016-07-12 |
| 1164895728 | Michael Wilson | Counselor | 3027 Pleasant Grv, Bossier City, LA 71111-5758 | 2015-11-04 |
| 1013384379 | Michael Wilson | Counselor | 7110 Sw Fir Loop Ste 220, Tigard, OR 97223 | 2015-08-21 |
| 1467828350 | Michael Wilson | Social Worker | 30500 Southfield Road Apt. 200, Michael Wilson, Southfield, MI 48076 | 2015-08-14 |
| 1356723803 | Michael Wilson II | Home Health Aide | 348 Wilson Ave, Port Clinton, OH 43452-1740 | 2015-06-22 |
| 1467641399 | Michael C. Wilson | Developmental Therapist | 820 E 38th Pl Unit 1, Chicago, IL 60653-1969 | 2007-10-16 |
| Street Address |
1104 PROFESSIONAL BLVD |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568554632 | Pamela S Abernathy | Nurse Practitioner | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2006-09-28 |
| 1780881847 | Dale Nicholas Reed | Orthopaedic Surgery | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2007-06-29 |
| 1366565459 | Allison Leigh Peek | Physical Therapy Assistant | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2007-04-06 |
| 1568584357 | Thierry Urbain | Physical Therapist | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2007-04-04 |
| 1972631182 | James E. Lashley | Orthopaedic Surgery | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2007-03-01 |
| 1871655167 | Associates In Orthopedics & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2006-12-14 |
| 1316030398 | Charles H Herndon Jr. | Orthopaedic Surgery | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2006-10-02 |
| 1265525141 | David Langlois | Physician Assistant | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2006-10-02 |
| 1790878692 | John T Norman Sr. | Orthopaedic Surgery | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2006-10-02 |
| 1245323047 | Roy Lee Gray | Specialist/Technologist | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2006-10-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326157488 | Conrad Harlan Easley | Orthopaedic Surgery | 1501 Broadrick Drive, Suite 3, Dalton, GA 30720 | 2006-08-30 |
| 1447590963 | Conrad H Easley Md PC | Orthopaedic Surgery | 1501 Broadrick Dr, Suite # 3, Dalton, GA 30720-3014 | 2013-02-20 |
| 1780881847 | Dale Nicholas Reed | Orthopaedic Surgery | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2007-06-29 |
| 1316030398 | Charles H Herndon Jr. | Orthopaedic Surgery | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2006-10-02 |
| 1790878692 | John T Norman Sr. | Orthopaedic Surgery | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2006-10-02 |
| 1396838363 | James M. Frix | Orthopaedic Surgery | 1104 Professional Blvd, Dalton, GA 30720-2588 | 2006-10-02 |
| 1861504649 | George Stafford Kerr | Orthopaedic Surgery | 2709 Airport Rd, Suite 101, Dalton, GA 30721-0252 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386258 | Thrive Orthopaedics LLC | Orthopaedic Surgery | 5775 Peachtree Dunwoody Rd Ne Ste C150a, Atlanta, GA 30342-1501 | 2020-11-02 |
| 1568061000 | Esrpa | Orthopaedic Surgery | 1717 Benhill Dr, Snellville, GA 30078-2595 | 2020-10-24 |
| 1588273122 | Mallory Mary Garretson | Orthopaedic Surgery | 3240 N E Expy Ne Ste 100, Atlanta, GA 30341-4003 | 2020-07-29 |
| 1982248597 | Atlanta Area Orthopedics and Regenerative Medicine LLC | Orthopaedic Surgery | 2878 Five Forks Trickum Rd Ste 2c, Lawrenceville, GA 30044-5896 | 2019-11-06 |
| 1821639758 | Optim Orthopedics, LLC | Orthopaedic Surgery | 586 Islands Hwy, Midway, GA 31320-5962 | 2019-10-02 |
| 1396306197 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1000 Cowles Clinic Way Ste A-400, Greensboro, GA 30642-5289 | 2019-06-24 |
| 1588121123 | 2019 Coastal Orthopedics Surgical Assist LLC | Orthopaedic Surgery | 8882 Abercorn St, Savannah, GA 31406-4508 | 2019-03-01 |
| 1386108769 | Focus Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 642 Hospital Rd, Commerce, GA 30529-1142 | 2019-01-30 |
| 1326523572 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2108 Teron Trce Ste 100, Dacula, GA 30019-1666 | 2018-10-03 |
| 1831670322 | Performance Orthopaedics & Sports Medicine | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 | 2018-08-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.