RANDALL ANN WILSON (NPI# 1013420900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013420900 |
| Entity Type | Individual |
| Full Name | RANDALL ANN WILSON |
| Credential | AGACNP |
| Practice Address |
6439 Garners Ferry Rd Columbia SC 29209-1638 |
| Practice Telephone | 8037764000 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
21430 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861685257 | Randall Glenn Wilson | Psychologist | 3203 Clairemont Dr, Apt. 2, San Diego, CA 92117-6449 | 2007-08-20 |
| 1336121441 | Randall Allen Wilson | Family Medicine | 106 Commercial Dr, Harrodsburg, KY 40330-1084 | 2005-11-15 |
| 1164540365 | Randall Eugene Wilson | Dentist | 4121 Old Collinsville Rd, Swansea, IL 62226-2441 | 2007-03-26 |
| 1396846499 | Randall J Wilson | Nurse Anesthetist, Certified Registered | 1300 S Montgomery Ave, Sheffield, AL 35660-6334 | 2006-09-25 |
| 1144279407 | Randall G Wilson | Internal Medicine | 3430 W Wheatland Rd, Suite 202, Dallas, TX 75237-3446 | 2006-05-06 |
| Street Address |
6439 GARNERS FERRY RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29209-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088149 | Bryan Davies | Podiatrist | 6439 Garners Ferry Rd, Columbia, SC 29209 | 2005-07-28 |
| 1255932901 | Juno Momoko Davenport | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-11-07 |
| 1144820275 | Heather Ruffin | Recreation Therapist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-10-28 |
| 1881201317 | Danelle Alexis Magalit | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-09-29 |
| 1700493186 | Allison Marie Anderson | Audiologist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-09-29 |
| 1346854783 | Sophia Armstrong | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-09-02 |
| 1609489756 | Jeani Rae Clark Quattlebaum | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-08-28 |
| 1851902340 | Brittany Franklin | Social Worker | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-08-10 |
| 1477162667 | Amee Shah | Pharmacist | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-07-24 |
| 1780292482 | Mary Catherine Chase Hess | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293013 | Pertile Group LLC | Family Medicine | 26 Foot Point Rd, Columbia, SC 29209 | 2018-04-24 |
| 1083156061 | Derek Clark | Physical Therapist | 6349 Garners Ferry Rd, Columbia, SC 29209 | 2016-11-08 |
| 1922450345 | Heather Alexander | Social Worker | 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 | 2016-07-09 |
| 1265888325 | Daphne Elaine Allen | Counselor | 1850 Pinview Dr, Columbia, SC 29209 | 2016-05-09 |
| 1659757649 | Marc Edmundson | Pharmacist | 500 Gills Creek Pkwy #810, Columbia, SC 29209 | 2015-08-03 |
| 1477949113 | Winter Years Home Health Care Agency, LLC | Home Health | 1101 1st Street, P, Columbia, SC 29209 | 2015-04-09 |
| 1285045773 | Alireza Adhami | Pharmacist | 7235 Garners Ferry Rd, Columbia, SC 29209 | 2014-05-19 |
| 1790039212 | Immediate Dental Group Columbia | Dentist | 1118 Greenlawn Drive, Columbia, SC 29209 | 2012-11-06 |
| 1275896284 | Tariq Horani | Internal Medicine | 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 | 2012-06-25 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| Find all providers in zip 29209 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043671134 | Abbey Tapler | Nurse Practitioner | 9 Richland Med Pk Dr Ste 450, Columbia, SC 29203-6859 | 2016-03-16 |
| 1528428448 | Mary Frances Snipes | Nurse Practitioner | 3 Richland Medical Park Dr., Suite 310, Columbia, SC 29203-6862 | 2016-03-04 |
| 1841659216 | Lindsey Culbertson Cossio | Nurse Practitioner | 121park Central Drive, Suite 200, Columbia, SC 29203-6476 | 2016-02-15 |
| 1386987634 | Megan L Stanfill | Nurse Practitioner | 915 S Garden St, Columbia, TN 38401 | 2013-04-04 |
| 1699015347 | Farahnaz Nafisy | Nurse Practitioner | 3010 Farrow Rd Ste 300, Columbia, SC 29203-7606 | 2013-02-17 |
| 1114270030 | Rhonda Lamar Gibson | Nurse Practitioner | 147 Fox Squirrel Cir, Columbia, SC 29209-4478 | 2012-10-16 |
| 1952675043 | Charissa Kirkland Lowe | Nurse Practitioner | 1614 Main Street Suite C, Ltc Health Solutions, Columbia, SC 29201-2818 | 2012-03-07 |
| 1467741108 | Ashley L Chapman | Nurse Practitioner | 121 Park Central Dr Ste 200, Columbia, SC 29203-6476 | 2011-04-04 |
| 1629001508 | Carrie A Miller | Nurse Practitioner | 706 Ames Dr, Columbia, MO 65201-7571 | 2006-07-07 |
| 1275591687 | Beckie Merritt Church | Nurse Practitioner | 8 Medical Park Rd, Suite 300, Columbia, SC 29203-6864 | 2006-05-03 |
| Find all providers in COLUMBIA | ||||
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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.