DR. NATHAN A. WILSON (NPI# 1386727006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386727006 |
Entity Type | Individual |
Full Name | DR. NATHAN A. WILSON |
Credential | M.D. |
Practice Address |
3485 Mike Padgett Hwy Augusta GA 30906-3815 |
Mailing Address |
6531 River Bluff Trl Martinez GA 30907-3317 |
Practice Telephone | 7067717843 |
Mailing Telephone | 7068315834 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2020-06-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 057203 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 597935080A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1245 Augusta West Pkwy, Augusta, GA 309091807 | 7068680389 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801408133 | Nathan Wilson | Behavior Technician | 9624 Puccini Trl Nw, Albuquerque, NM 87114-4698 | 2020-08-18 |
1346899085 | Nathan Wilson | Pharmacist | 1950 Circle of Hope Dr Ste N1780, Salt Lake City, UT 84112-5500 | 2019-09-05 |
1770946857 | Nathan Wilson | Counselor | 303 Se Osceola Ave Ste 5, Ocala, FL 34471-2171 | 2016-04-05 |
1427230663 | Nathan G Wilson | Physical Medicine & Rehabilitation | 790 N. Hwy 67, Florissant, MO 63031-5108 | 2007-11-29 |
1598979445 | Nathan Paul Wilson | Dentist | 108 Fairfield Dr, Nicholasville, KY 40356-8842 | 2007-05-10 |
1306959077 | Nathan Ray Wilson | Counselor | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2006-08-16 |
1720053572 | Nathan Jerome Wilson | Family Medicine | 4221 Chestnut Ave, Long Beach, CA 90807-1903 | 2006-02-22 |
1336615038 | Nathan Wilson | Behavior Technician | 3031 C St, Sacramento, CA 95816-3326 | 2018-10-19 |
1225557358 | Nathan Paul Wilson | Counselor | 333 S Central Ave, Los Angeles, CA 90013-1724 | 2017-09-09 |
1760902704 | Nathan R Wilson | Case Manager/Care Coordinator | 3857 Martin Way E, Olympia, WA 98506-5268 | 2017-06-21 |
Street Address |
3485 MIKE PADGETT HWY |
City | AUGUSTA |
State | GA |
Zip Code | 30906-3815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114059136 | Irineo Mina Sibal | Neuromusculoskeletal Medicine & OMM | 3485 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2007-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
Find all providers in zip 30906 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
1033734918 | Lauren Wooten Smith | Pediatrics | Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-16 |
1487211199 | Ashley Elizabeth Miller | Pediatrics | 1146 Harper Street, Augusta, GA 30912-0001 | 2019-05-29 |
1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
1558824797 | John-david Constantine Bruce | Pediatrics | Dugas Building (bg-1071) 1120 15th Street, Augusta, GA 30912-0001 | 2019-04-12 |
1306229182 | Alexander James Eason | Pediatrics | Georgia Regents Medical Ctr, 1120 15th Street, Augusta, GA 30912-0001 | 2015-06-30 |
1184945339 | Shannon Nicole Myers | Pediatrics | 3727 Executive Center Dr, Augusta, GA 30907-2398 | 2010-06-22 |
1801113386 | Gerard Rubin | Pediatrics | 6 E Chestnut St Ste 310, Augusta, ME 04330-5717 | 2010-04-23 |
1013246487 | William Weston IIi | Pediatrics | 93 Bristlecone Ct., Augusta, GA 30909-1861 | 2009-12-15 |
1225285372 | Mustafa Musa Nimir | Pediatrics | 1120 15th St Ae-3042, Medical College of Georgia, Augusta, GA 30912-5000 | 2008-08-20 |
Find all providers in AUGUSTA |
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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.