MR. ANTHONY WILKERSON (NPI# 1619370087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619370087 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY WILKERSON |
| Credential | NP |
| Practice Address |
2232 Wilborn Ave Suite A South Boston VA 24592-1662 |
| Mailing Address |
1060 Carriage End Way South Boston VA 24592-6521 |
| Practice Telephone | 4345173355 |
| Practice Fax Number | 4345722510 |
| Mailing Telephone | 4345790935 |
| Mailing Fax Number | 4345722510 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2016-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024172092 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265080527 | Anthony Wilkerson | Physical Therapist | 627 8th St, Clermont, FL 34711-2159 | 2019-08-29 |
| 1053875609 | Anthony Wilkerson | Specialist/Technologist | 521 Lancaster Ave, Richmond, KY 40475-3100 | 2019-01-29 |
| 1831618396 | Anthony Glen Wilkerson | Nurse Anesthetist, Certified Registered | 5415 S Mccoll Rd, Edinburg, TX 78539-9183 | 2017-09-15 |
| Street Address |
2232 WILBORN AVE SUITE A |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-1662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881885 | Tessie Otero-truitt | Internal Medicine | 2232 Wilborn Ave, Ste B, South Boston, VA 24592-1662 | 2005-06-16 |
| 1225658206 | Brandi S Thompson | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2020-04-20 |
| 1588189609 | Allison Newbill Pope | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2017-08-09 |
| 1962744508 | Whitney A Myers | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2013-03-21 |
| 1285970236 | Katherine Gambino | Physician Assistant | 2232 Wilborn Ave, Suite G, South Boston, VA 24592-1662 | 2012-12-19 |
| 1427306315 | Dominion Health Medical Assoc | Specialist | 2232 Wilborn Ave, Suite F, South Boston, VA 24592 | 2012-08-27 |
| 1730455411 | Dominion Medical Health Assoc | Internal Medicine | 2232 Wilborn Ave, Suite D, South Boston, VA 24592 | 2012-03-28 |
| 1801175567 | Dominion Health Medical Associates | Clinic/Center | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2011-08-12 |
| 1316267750 | Gareth Murchison Titus | Specialist | 2232 Wilborn Ave, Suite A, South Boston, VA 24592-1662 | 2010-06-08 |
| 1598099376 | Janardhan Srinivasan | Internal Medicine | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2009-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270385 | Kelsey Sullivan | Nurse Practitioner | 799 E 6th St, South Boston, MA 02127-4317 | 2020-06-17 |
| 1649749250 | Lindsay Spencer | Nurse Practitioner | 3601 Old Halifax Rd Ste 100, South Boston, VA 24592-4953 | 2018-11-13 |
| 1538658703 | Amy Humphries | Nurse Practitioner | 3130 Halifax Rd Ste C, South Boston, VA 24592-4948 | 2018-05-03 |
| 1609473644 | Jacquelyn Elizabeth Adams | Nurse Practitioner | 3601 Old Halifax Rd Ste 100, South Boston, VA 24592-4953 | 2020-10-02 |
| 1225658206 | Brandi S Thompson | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2020-04-20 |
| 1215411749 | Kelly Anne Maloy | Nurse Practitioner | 409 W Broadway, South Boston, MA 02127-2245 | 2018-09-20 |
| 1437633401 | Veronica Lynn Hecht | Nurse Practitioner | 409 W Broadway, South Boston, MA 02127-2245 | 2018-09-17 |
| 1669988986 | Kelly Arendall Hill | Nurse Practitioner | 103 Rosehill Dr, South Boston, VA 24592-4843 | 2017-12-22 |
| 1063931897 | Jon Michael Hughes | Nurse Practitioner | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2017-09-13 |
| 1588189609 | Allison Newbill Pope | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2017-08-09 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
Please comment or provide details below to improve the information on MR. ANTHONY WILKERSON.
| 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.