DR. EDWINA C WILSON (NPI# 1053313957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053313957 |
| Entity Type | Individual |
| Full Name | DR. EDWINA C WILSON |
| Credential | MD |
| Practice Address |
833 Buffalo St Suite 200 Farmville VA 23901-1111 |
| Practice Telephone | 4343928177 |
| Practice Fax Number | 4343928272 |
| Mailing Telephone | 4343928177 |
| Mailing Fax Number | 4343928272 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2013-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101045725 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 88245 | 01 |
| NC | 5900615 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104979384 | Edwina Wilson | Social Worker | 65 Forest Dr., Varnville, SC 29944 | 2007-01-19 |
| 1083850739 | Edwina Wilson | Counselor | 4 Shackleford Plz, Suite 210, Little Rock, AR 72211-1826 | 2008-12-31 |
| Street Address |
833 BUFFALO ST SUITE 200 |
| City | FARMVILLE |
| State | VA |
| Zip Code | 23901-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124566625 | Mercy P Bradshaw | Nurse Practitioner | 833 Buffalo St, Farmville, VA 23901-1111 | 2017-02-03 |
| 1619909454 | William Foster Hughes | Obstetrics & Gynecology | 833 Buffalo St, Suite 200, Farmville, VA 23901-1111 | 2006-07-06 |
| 1083692339 | Joy J Hogg | Advanced Practice Midwife | 833 Buffalo St, Farmville, VA 23901-1111 | 2006-01-06 |
| 1427036649 | Sharon Chandler | Nurse Practitioner | 833 Buffalo St, Suite 200, Farmville, VA 23901-1111 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1184269870 | Louis Lee Huddleston | Counselor | 502 Beech Street, Farmville, VA 23901 | 2019-11-17 |
| 1447706668 | Alison Cameron | Specialist/Technologist | 3152 Allen Farm Road, Farmville, VA 23901 | 2016-08-28 |
| 1508236977 | Sarah Trimble | Social Worker | 833 Buffalo Street Suite 200, Suite 200 Po Drawer Q, Farmville, VA 23901 | 2015-09-29 |
| 1437532306 | Tara Ross-barksdale | Counselor | 129 Walnut Lane, Farmville, VA 23901 | 2015-07-09 |
| 1770997660 | Ronda L Walker | Speech-Language Pathologist | 315 West Third Street, Farmville, VA 23901 | 2014-06-18 |
| 1598191165 | Stephen Stone | Physician Assistant | 1706 East 3rd Street, Farmville, VA 23901 | 2013-09-16 |
| 1558637611 | Jeffrey Sargent | Physical Therapy Assistant | 800 0ak St, Farmville, VA 23901 | 2012-03-22 |
| 1497068217 | Family Preservation Services, Inc. | Community/Behavioral Health | 1825 East Third Street, Farmville, VA 23901 | 2010-07-21 |
| 1467781419 | Aime Spencer | Counselor | 232 Ridgeway Drive, Farmville, VA 23901 | 2009-12-21 |
| Find all providers in zip 23901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932587243 | Southside Area Family Medicine Inc | Family Medicine | 324 Commerce Rd Ste A, Farmville, VA 23901-2794 | 2015-05-07 |
| 1932209335 | Timothy Wiley Corbett Sr. | Family Medicine | 324 Commerce Rd, Suite A, Farmville, VA 23901-2794 | 2006-09-25 |
| 1497765473 | Lawrence C Varner | Family Medicine | 400 Longwood Ave, Farmville, VA 23901-1524 | 2006-08-09 |
| 1497717342 | Enrique Villa Marana | Family Medicine | 3485 N Main St, Farmville, NC 27828-1466 | 2006-04-05 |
| 1730167099 | David E Pruitt | Family Medicine | 935 S Main St, Farmville, VA 23901-2211 | 2006-01-06 |
| 1154309334 | Robert C Wade | Family Medicine | 1705 East Third Street, Farmville, VA 23901-1199 | 2006-01-06 |
| 1295389849 | Carly Elizabeth Haddock | Family Medicine | 935 S Main St, Farmville, VA 23901-2211 | 2019-07-31 |
| 1336638865 | Centra Medical Group. LLC | Family Medicine | 800 Oak St, Farmville, VA 23901-1199 | 2018-05-10 |
| 1710235544 | Ranjit Singh | Family Medicine | 935 S Main St, Farmville, VA 23901-2211 | 2012-08-28 |
| 1831404524 | Giuliana Allega | Family Medicine | 935 S Main St, Farmville, VA 23901-2211 | 2010-08-18 |
| Find all providers in FARMVILLE | ||||
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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.