DR. JOHN M. WILSON (NPI# 1164423836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164423836 |
| Entity Type | Individual |
| Full Name | DR. JOHN M. WILSON |
| Credential | M.D. |
| Practice Address |
3300 Rivermont Ave Lynchburg VA 24503-2030 |
| Mailing Address |
1204 Fenwick Dr Lynchburg VA 24502-2112 |
| Practice Telephone | 4342005999 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2008-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101056617 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM PROVIDER NUMBER | 186475 | 01 |
| VA | TRICARE PROVIDER NUMBER | 203639329001 | 01 |
| VALUE OPTIONS PROVIDER NU | 239524 | 01 | |
| CIGNA BEHAVIOR PROVIDER N | 2019602 | 01 | |
| VA | SENTARA PROVIDER NUMBER | O88170 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376107979 | John Zaakery Wilson | Peer Specialist | 3350 E Beech Way # A, Wasilla, AK 99654-7417 | 2019-04-29 |
| 1639673924 | John Michael Wilson | Student in an Organized Health Care Education/Training Program | 235 Sable Fls, San Antonio, TX 78258-4870 | 2018-03-21 |
| 1427429133 | John Wilson | Internal Medicine | 5 Ladd Rd, Hanover, NH 03755-3420 | 2015-10-08 |
| 1760878599 | John Wilson IIi | Psychiatry & Neurology | 212 W Route 38 Ste 105, Moorestown, NJ 08057-4100 | 2015-04-08 |
| 1194110718 | John Stewart Wilson Jr. | Radiology | 220 Glen Forest Dr, Greensburg, PA 15601-3718 | 2015-03-31 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1982031944 | John Forrest Wilson IIi | Licensed Practical Nurse | 412 Ketcham St, Riverside, OH 45431-2124 | 2013-10-03 |
| 1265782213 | John Matthew Wilson | Speech-Language Pathologist | 3517 Norfolk Ct Se, Olympia, WA 98501-7021 | 2012-09-18 |
| 1396009676 | John A Wilson II | Rehabilitation Practitioner | 6054 Giant Forest Ln, North Las Vegas, NV 89031-1663 | 2012-07-01 |
| 1932494127 | John C Wilson | Dentist | 2675 Central Ave Ste L8, Billings, MT 59102-6686 | 2011-06-15 |
| Street Address |
3300 RIVERMONT AVE |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24503-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384137 | James Cummings Dunstan Jr. | Orthopaedic Surgery | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2005-05-31 |
| 1649887175 | Bruce Slagle | Pharmacy Technician | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-09-29 |
| 1023622149 | Stephanie Lane Porter | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-09-04 |
| 1013532803 | Meredith Ryan Smith | Counselor | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-06-08 |
| 1326682980 | Centra Medical Group, LLC | Family Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-11-06 |
| 1831751809 | Elizabeth Ware | Speech-Language Pathologist | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-07-01 |
| 1730740788 | Rhandi Nichole Norman | Registered Nurse | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-06-20 |
| 1922668136 | Paula Deane Creekmore | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-06-19 |
| 1215401948 | Adam Russell Penrose | Nurse Anesthetist, Certified Registered | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-01-16 |
| 1891268199 | Donna C Schwarz | Nurse Anesthetist, Certified Registered | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661859 | Better Way Psychiatry Pllc | Psychiatry & Neurology | 4925 Boonsboro Road, Pmb 137, Lynchburg, VA 24503 | 2020-08-25 |
| 1164845632 | Andrew Joseph Anderson | Family Medicine | 4327 Boonsboro Rd Ste 5, Lynchburg, VA 24503 | 2014-02-03 |
| 1407139421 | William Carter Wingfield Sr. | Pharmacist | 5006 Old Boonsboro Rd, Lynchburg, VA 24503 | 2011-09-26 |
| 1912226382 | The Way Congregational Church | Voluntary or Charitable | 3305 Rivermont Avenue, Lynchburg, VA 24503 | 2010-05-25 |
| 1659549897 | Elizabeth Ann Bolton | Speech-Language Pathologist | 302 Rowland Dr., Lynchburg, VA 24503 | 2008-02-11 |
| 1821286485 | Mary Ayers Highton | Nurse Practitioner | 3300 Rivermont Ave., Lynchburg, VA 24503 | 2007-10-09 |
| 1588746044 | Presbyterian Homes and Family Services | Day Training, Developmentally Disabled Services | 150 Linden Avenue, Lynchburg, VA 24503 | 2006-10-20 |
| 1417043910 | Timothy Clinton | Counselor | 2811 Linkhorne Dr., Ste B, Lynchburg, VA 24503 | 2006-10-04 |
| 1730733288 | Joy Lois Knapton | Lactation Consultant, Non-RN | 150 Linden Ave, Lynchburg, VA 24503 | 2019-08-01 |
| 1346606845 | Julie Brown | Registered Nurse | 3300 Rivermont Ave., Virginia Baptist Hospital, Lynchburg, VA 24503 | 2016-01-13 |
| Find all providers in zip 24503 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661859 | Better Way Psychiatry Pllc | Psychiatry & Neurology | 4925 Boonsboro Road, Pmb 137, Lynchburg, VA 24503 | 2020-08-25 |
| 1639137862 | Patti E Croft | Psychiatry & Neurology | 2235 Landover Pl, Lynchburg, VA 24501-2115 | 2006-05-04 |
| 1962403857 | Antal E. Solyom | Psychiatry & Neurology | 2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121 | 2005-08-02 |
| 1053310581 | Daryl H Yoder | Psychiatry & Neurology | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2005-07-18 |
| 1043693054 | Centra Medical Group, LLC | Psychiatry & Neurology | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2015-07-08 |
| 1629466016 | Centra Medical Group, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2015-01-07 |
| 1871903682 | Central Virginia Psychiatry, Pllc | Psychiatry & Neurology | 1049 Claymont Dr, Lynchburg, VA 24502-4481 | 2014-05-01 |
| 1578983854 | Jessica Marie Butala | Psychiatry & Neurology | 2402 Atherholt Rd, Lynchburg, VA 24501 | 2014-04-24 |
| 1851733711 | Sesha Krishna Kotapati | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2013-07-20 |
| 1063853182 | Mateusz Broszko | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2013-07-17 |
| Find all providers in LYNCHBURG | ||||
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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.