DR. LAWRENCE EUGENE WILSON JR. (NPI# 1962633164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962633164 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE EUGENE WILSON JR. |
| Credential | M.D. |
| Practice Address |
535 Coliseum Dr Macon GA 31217-0104 |
| Mailing Address |
720 Westview Drive Sw Harris Bldg., 100-a Atlanta GA 30310 |
| Practice Telephone | 4047294532 |
| Mailing Telephone | 4047561400 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VC0200X |
Obstetrics & Gynecology Specialization: Critical Care Medicine |
A131300 | CA | Allopathic & Osteopathic Physicians |
| N | 207VC0200X |
Obstetrics & Gynecology Specialization: Critical Care Medicine |
17335 | HI | Allopathic & Osteopathic Physicians |
| N | 207VC0200X |
Obstetrics & Gynecology Specialization: Critical Care Medicine |
4301095126 | MI | Allopathic & Osteopathic Physicians |
| N | 207VC0200X |
Obstetrics & Gynecology Specialization: Critical Care Medicine |
66438 | GA | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
4301095126 | MI | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
17335 | HI | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
A131300 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
66438 | GA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD190651 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902327018 | Lawrence Edward Wilson | Counselor | 1548 Poplar Ave, Memphis, TN 38104-2432 | 2017-06-28 |
| 1386172542 | Lawrence Wilson | Counselor | 49 W 24th St Ste 507, New York, NY 10010-3206 | 2017-05-31 |
| 1841580974 | Lawrence Wilson | Pharmacist | 74 Tanbark Plaza, Lovingston, VA 22949-0318 | 2011-04-11 |
| 1528362662 | Lawrence Wilson | Nutritionist | 4950 S Indian Creek Rd, Prescott, AZ 86303-6180 | 2011-01-04 |
| 1366560518 | Lawrence Joe Wilson | Chiropractor | 10769 Woodside Ave, 109, Santee, CA 92071-3174 | 2007-03-27 |
| 1639229040 | Lawrence Woodrow Wilson | Family Medicine | 5701 Balloon Fiesta Parkway, Care of Blue Cross Blue Shield of New Mexico, Albuquerque, NM 87113 | 2007-01-11 |
| 1982846028 | Lawrence Steven Wilson | Psychiatry & Neurology | 4422 E Columbus Dr., Tampa, FL 33605 | 2009-04-06 |
| 1760598940 | Lawrence Wade Wilson | Pharmacist | 275 Cumberland Bnd, Nashville, TN 37228-1805 | 2006-08-21 |
| 1700853439 | Lawrence H Wilson | Family Medicine | 9500 Mentor Ave, Suite 100, Mentor, OH 44060-8713 | 2006-03-01 |
| 1518951342 | Lawrence A Wilson | Emergency Medicine | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2005-09-08 |
| Street Address |
535 COLISEUM DR |
| City | MACON |
| State | GA |
| Zip Code | 31217-0104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252044 | Regency Hospital Company of Macon LLC | Long Term Care Hospital | 535 Coliseum Dr, Macon, GA 31217-0104 | 2005-08-12 |
| 1770184830 | Brittnae Howard | Nurse's Aide | 535 Coliseum Dr, Macon, GA 31217-0104 | 2020-11-05 |
| 1215444948 | Doris S Veal | Nurse Practitioner | 535 Coliseum Dr, Macon, GA 31217-0104 | 2018-01-03 |
| 1265965644 | Fraulein Kyzer | Nurse Practitioner | 535 Coliseum Dr, Macon, GA 31217-0104 | 2017-04-04 |
| 1053856427 | Heather E Wallace | Nurse Practitioner | 535 Coliseum Dr, Macon, GA 31217-0104 | 2016-12-21 |
| 1891049102 | Oconee Health Care Center LLC | Nursing Facility/Intermediate Care Facility | 535 Coliseum Dr, Macon, GA 31217-0104 | 2012-11-08 |
| 1003180357 | Regency Hospital Company of Macon LLC | Hospitalist | 535 Coliseum Dr, Macon, GA 31217-0104 | 2012-03-05 |
| 1649540451 | Latanya D Mcknight | Pharmacist | 535 Coliseum Dr, Macon, GA 31217-0104 | 2012-01-10 |
| 1760560726 | Tarun Kumar Ghosh | Internal Medicine | 535 Coliseum Dr, Macon, GA 31217-0104 | 2006-11-01 |
| 1598754301 | Farhan Siddiqui | Internal Medicine | 535 Coliseum Dr, Macon, GA 31217-0104 | 2005-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866261 | Emily Gilchrist | Surgery | 1505 Northside Blvd Ste 2400, Cumming, GA 30041-7662 | 2017-12-04 |
| 1942437363 | Keneeshia Nicole Williams | Surgery | 69 Jesse Hill Jr Dr Se Fl 3, Atlanta, GA 30303-3033 | 2009-06-11 |
| 1528571320 | Savannah Multispecialty Associates, LLC | Surgery | 4700 Waters Ave Ste 400, Savannah, GA 31404-6220 | 2017-11-15 |
| 1447698220 | Kyle Matthew Thomas | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2013-06-13 |
| 1174966337 | Timothy John Stevens | Surgery | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2013-04-08 |
| 1548527450 | Deepika Koganti | Surgery | 69 Jesse Hill Jr. Drive, Sw, Glenn Memorial Bldg 3rd Fl, Atlanta, GA 30303 | 2012-04-16 |
| 1093004616 | Craig Rodney Mccready | Surgery | 201 Dowman Dr Ne, Atlanta, GA 30322-1007 | 2011-04-05 |
| 1104060144 | Caroline Butler | Surgery | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2009-04-21 |
| 1881748234 | James Dominic Frizzi | Surgery | 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 | 2007-01-23 |
| 1235199407 | Terence Sidney Okeeffe | Surgery | 1120 15th St, Augusta, GA 30912-7208 | 2006-03-23 |
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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.