LEROY A WILSON M D P C (NPI# 1225204480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225204480 |
| Entity Type | Organization |
| Organization Name | LEROY A WILSON M D P C |
| Practice Address |
315 Boulevard Ne Suite 316 Atlanta GA 30312 |
| Practice Telephone | 4046591234 |
| Practice Fax Number | 4046590640 |
| Mailing Telephone | 4046591234 |
| Mailing Fax Number | 4046590640 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | DR. LEROY AUGUSTUS WILSON (PRESIDENT) |
| Authorized Official Telephone | 4046591234 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 12594 | GA | Ambulatory Health Care Facilities |
| Street Address |
315 BOULEVARD NE SUITE 316 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874023 | Courtney D Shelton | Family Medicine | 315 Boulevard Ne, Suite 310, Atlanta, GA 30312-1200 | 2005-07-10 |
| 1205316395 | Yolette Lafontant | Nurse Practitioner | 315 Boulevard Ne, Atlanta, GA 30312-1200 | 2018-08-17 |
| 1659871994 | Traci Ann Robinson | Nurse Practitioner | 315 Boulevard Ne, Atlanta, GA 30312-1200 | 2018-02-13 |
| 1982155222 | Terescah Lemon | Counselor | 315 Boulevard Ne, Atlanta, GA 30312-1200 | 2016-10-21 |
| 1154785624 | Shelton Hospitalists Group, LLC | Internal Medicine | 315 Boulevard Ne, Suite 310, Atlanta, GA 30312-1264 | 2016-04-11 |
| 1720471261 | Pacific Coast Medical Group Company | Preventive Medicine | 315 Boulevard Ne, Suite 555, Atlanta, GA 30312-1200 | 2015-03-09 |
| 1447690581 | Lynn Lipa | Registered Nurse | 315 Boulevard Ne, Suite 332, Atlanta, GA 30312-1200 | 2013-07-03 |
| 1558637512 | Althea L. Turk,m.d.,p.c. | Ophthalmology | 315 Boulevard Ne, Suite 242, Atlanta, GA 30312-1200 | 2012-03-23 |
| 1144518291 | Veena Malepati | Internal Medicine | 315 Boulevard Ne, Atlanta Medical Center, Atlanta, GA 30312-1200 | 2011-07-11 |
| 1306131396 | Lonnie C. Jenkins Md PC | Internal Medicine | 315 Boulevard Ne, Suite 516, Atlanta, GA 30312 | 2011-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1801429105 | Pt Hills Place Terraces LLC | Clinic/Center | 229 Peachtree Hills Ave Ne, Atlanta, GA 30305-4411 | 2020-02-15 |
| 1194363382 | Arcd and Weightloss Management | Clinic/Center | 265 18th St Nw Ste 2823, Atlanta, GA 30363-1125 | 2019-12-18 |
| 1134775208 | Naesm Mens Health and Wellness Center | Clinic/Center | 2140 Martin Luther King Jr Dr Sw Ste 201, Atlanta, GA 30310 | 2019-08-14 |
| 1427532225 | River Acupuncture Inc | Clinic/Center | 5441 Buford Hwy Ne Ste 203, Atlanta, GA 30340-1168 | 2018-09-18 |
| 1093208381 | Tonova Audiometrics, LLC | Clinic/Center | 677b Alta Pl Nw, Atlanta, GA 30318-6364 | 2018-06-11 |
| 1841708682 | Aica Orthopedics, P.C. | Clinic/Center | 2045 Peachtree Rd Ne Ste 700, Atlanta, GA 30309-1417 | 2018-01-15 |
| 1407361702 | Buckhead Cosmetic and Family Dentistry LLC | Clinic/Center | 316 Pharr Rd Ne, Atlanta, GA 30305-2304 | 2017-12-08 |
| 1366952749 | Cancer Screening of America | Clinic/Center | 1 Baltimore Pl Nw Ste 240, Atlanta, GA 30308-2116 | 2017-10-11 |
| Find all providers in ATLANTA | ||||
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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.