TINA WILSON (NPI# 1376579854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376579854 |
| Entity Type | Individual |
| Full Name | TINA WILSON |
| Credential | M.D. |
| Practice Address |
620 Skyline Dr Jackson TN 38301 |
| Mailing Address |
1804 Highway 45 Byp Ste 604 Jackson TN 38305-4403 |
| Practice Telephone | 7315416067 |
| Practice Fax Number | 7315413188 |
| Mailing Telephone | 7316608781 |
| Mailing Fax Number | 7316608739 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
53942 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497295067 | Tina Wilson | Counselor | 591 State Route 244, Alfred Station, NY 14803 | 2017-03-02 |
| 1033653720 | Tina Wilson | Community Based Residential Treatment Facility, Mental Illness | 139 Whippoorwill Ln, Mt Holly, NC 28120-9761 | 2016-12-14 |
| 1417262205 | Tina Wilson | Mechanotherapist | 15019 Nw 5th Ave, Newberry, FL 32669-2828 | 2010-08-17 |
| 1003442690 | Tina Wilson | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2020-03-16 |
| 1548696388 | Tina Andrea Wilson | Counselor | 8430 University Exec Park Dr, Ste. 655, Charlotte, NC 28262-1350 | 2013-09-25 |
| 1902158348 | Tina Wilson | Hearing Instrument Specialist | 1801 S State Road 57, Washington, IN 47501-4326 | 2012-10-10 |
| 1770551319 | Tina L Wilson | Registered Nurse | 580 Westport Rd, Elizabethtown, KY 42701-2949 | 2006-03-09 |
| 1548262058 | Tina Louise Wilson | Pharmacist | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2005-08-15 |
| Street Address |
620 SKYLINE DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094608 | Julie A Mcbroom | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2005-06-25 |
| 1205440260 | Heather Middleton | Registered Nurse | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-09-06 |
| 1780297291 | Holly R Jones | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-08-25 |
| 1851909972 | Earl Wade Lomax | Student in an Organized Health Care Education/Training Program | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-07-15 |
| 1356960835 | Gregory Heath Mcneely | Registered Nurse | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-04-14 |
| 1174157515 | Matthew Lee Luttrell | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-02-25 |
| 1528698594 | Heidi Hill | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-01-18 |
| 1407406861 | Justin Harrison | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2019-09-18 |
| 1770131856 | Shelby Kathryn Berry | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2019-08-30 |
| 1891342028 | Jack Harold Fields IIi | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689882870 | Larry David Edwards | Internal Medicine | 71 Abbey Pl, Jackson, TN 38305-1793 | 2007-05-19 |
| 1316029648 | Infectious Disease Consultants of Jackson, PC | Internal Medicine | 43 Oakhaven Dr, Jackson, TN 38305-6801 | 2006-10-19 |
| 1417045097 | Mary Jane Burton | Internal Medicine | 1500 East Woodrow Wilson Street, Jackson, MS 39216-5199 | 2006-10-10 |
| 1003826272 | Jo P Deal | Internal Medicine | 766 Lakeland Dr, A, Jackson, MS 39216-4610 | 2006-08-09 |
| 1013938505 | Richard Erwin Dixon | Internal Medicine | 10270 Spunn Rd, Jackson, CA 95642-2046 | 2006-07-21 |
| 1477580819 | Tabitha Snowdy | Internal Medicine | 766 Lakeland Dr Ste A, Jackson, MS 39216 | 2006-06-28 |
| 1689622318 | Anne Whitehurst | Internal Medicine | 971 Lakeland Dr Ste 954, Jackson, MS 39216-4609 | 2006-05-05 |
| 1598203655 | W.a. Foote Memorial Hospital, Inc. | Internal Medicine | 205 N. East Ave., Jackson, MI 49201 | 2017-02-08 |
| 1568717650 | Melanie Diane Mccauley | Internal Medicine | 2500 N State St, Department of Medicine, Jackson, MS 39216-4500 | 2012-07-16 |
| 1952667081 | Shamik Dwivedi | Internal Medicine | 205 N East Ave, Jackson, MI 49201-1753 | 2012-04-03 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on TINA WILSON.
| 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.