DR. JACOB MICHAEL WILSON


Address: 57 Executive Park S, Atlanta, GA 30329-2288
Phone: 4047781567

DR. JACOB MICHAEL WILSON (NPI# 1073976502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073976502
Entity Type Individual
Full Name DR. JACOB MICHAEL WILSON
Credential M.D.
Practice Address 57 Executive Park S
Atlanta
GA 30329-2288
Practice Telephone 4047781567
Mailing Telephone 4047781567
Enumeration Date 2016-04-01
Last Update Date 2016-06-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 008704 GA Allopathic & Osteopathic Physicians

Other Providers JACOB WILSON

NPI Name Taxonomy Address Enumeration
1780181016 Jacob Wilson Emergency Medicine 1313 21st Avenue, South, 703 Oxford House, Nashville, TN 37232-4700 2018-04-12
1396192423 Jacob Wilson Family Medicine 333 Whitesport Dr Sw Ste 204, Huntsville, AL 35801-3455 2016-05-18
1043819303 Jacob Wilson Chiropractor 930 Hilltop Dr Ste 102, Weatherford, TX 76086-5943 2020-10-19
1962029165 Jacob Allen Wilson Registered Nurse 3720 Sinton Rd Ste 104, Colorado Springs, CO 80907-5085 2020-07-03
1831678325 Jacob Wilson Physician Assistant 123 Summer St, Worcester, MA 01608-1216 2018-08-07
1396234670 Jacob Landis Wilson Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2018-05-02
1255849626 Jacob Wilson Physical Therapist 2000 S Main St, Fairfield, IA 52556-9572 2018-01-18
1730618356 Jacob Dammon Wilson Student in an Organized Health Care Education/Training Program 42 E Laurel Rd Ste 2600, Stratford, NJ 08084-1354 2017-06-07
1265871701 Jacob Joseph Wilson Psychiatry & Neurology 6363 France Ave S, Edina, MN 55435-2129 2013-06-18
1114286648 Jacob W. Wilson Social Worker 301 Deinhard Ln, Mccall, ID 83638-4703 2012-05-03

Office Location

Street Address 57 EXECUTIVE PARK S
City ATLANTA
State GA
Zip Code 30329-2288

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528168747 Juliet Kottak Mavromatis Internal Medicine 57 Executive Park S, Ste 390, Atlanta, GA 30329-2288 2006-09-25
1407317530 Brianna Siracuse Student in an Organized Health Care Education/Training Program 57 Executive Park S, Atlanta, GA 30329-2288 2019-03-29
1558850107 Adrienne Colman Physical Therapist 57 Executive Park S, Atlanta, GA 30329-2288 2018-05-08
1114451275 William Orval Runge Student in an Organized Health Care Education/Training Program 57 Executive Park S, Suite 160, Atlanta, GA 30329-2288 2017-04-16
1124551932 Jeremiah A Pflederer Student in an Organized Health Care Education/Training Program 57 Executive Park S, Room 160-5, Atlanta, GA 30329-2288 2017-04-07
1093248221 Matthew Lunati Student in an Organized Health Care Education/Training Program 57 Executive Park S, Room # 160-5, Atlanta, GA 30329-2288 2017-04-05
1902260508 Keith Jayson Orland Orthopaedic Surgery 57 Executive Park S, Room 160-5, Atlanta, GA 30329-2288 2016-04-09
1902269293 Robert Matthew Wham Orthopaedic Surgery 57 Executive Park S, Room 160-5, Atlanta, GA 30329-2288 2016-04-04
1942663141 Thomas Michael Neustein Orthopaedic Surgery 57 Executive Park S, Room # 160-5, Atlanta, GA 30329-2288 2016-04-04
1851754253 Russell Eric Holzgrefe Orthopaedic Surgery 57 Executive Park S, Room # 160-5, Atlanta, GA 30329-2288 2016-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871084111 Inner Peace Counseling Services,llc Counselor 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 2018-05-22
1912409392 Joie De Vivre Counseling and Therapy Counselor 2801 Buford Highway, Ne, Atlanta, GA 30329 2018-03-01
1902329105 Barbara Dunbar Psychologist 1777 Northeast Expressway, #175, Atlanta, GA 30329 2017-07-19
1114449048 Cricket Cheyenne Gullickson Student in an Organized Health Care Education/Training Program 1371 Briarvista Way Ne, Atlanta, GA 30329 2017-07-12
1902357866 Carla Zimmerly Nurse Practitioner 1711 Tullie Circle, Atlanta, GA 30329 2016-10-17
1316490808 Shahzad Ghori Student in an Organized Health Care Education/Training Program 1727 Druid Oaks Ne, Atlanta, GA 30329 2016-08-01
1023467768 Ashley Elliott Physician Assistant 59 Executive Park, Atlanta, GA 30329 2016-06-03
1285096115 Kimberley Fox Internal Medicine 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 2016-03-21
1275991648 Mary Patricia Joyce Internal Medicine 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 2016-02-01
1346656618 Amelia Muniz Hernandez Pediatrics 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 2014-07-08
Find all providers in zip 30329

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1588273122 Mallory Mary Garretson Orthopaedic Surgery 3240 N E Expy Ne Ste 100, Atlanta, GA 30341-4003 2020-07-29
1831670322 Performance Orthopaedics & Sports Medicine Orthopaedic Surgery 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 2018-08-23
1477039741 Atlanta Knee and Shoulder Clinic PC Orthopaedic Surgery 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 2018-07-19
1114422250 Atlanta Breast Reconstruction Orthopaedic Surgery 2795 Peachtree Rd Ne Unit 309, Atlanta, GA 30305-3672 2018-03-29
1093129678 Roy M Rubin Orthopaedic Surgery 3806 Ashford Knls Ne, Atlanta, GA 30319-1868 2014-06-11
1053755207 Thomas Windrow Marks Orthopaedic Surgery 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 2013-04-18
1144583261 Amy L Ravindra Orthopaedic Surgery 1839 Buford Hwy Ne, Ste 100, Atlanta, GA 30309 2012-06-22
1316213788 Oren Goltzer Orthopaedic Surgery 57 Executive Park S Ste 160-3, Atlanta, GA 30329-2288 2012-03-29
1457624215 Allan Neil Levine Orthopaedic Surgery 1060 Riverside Trce Nw, Atlanta, GA 30328-3655 2012-02-09
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Competitor

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City ATLANTA
Zip Code 30329

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Dataset Information

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.

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