RUSSELL ANDREW WILSON


Address: 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214-4556
Phone: 7707195660

RUSSELL ANDREW WILSON (NPI# 1427057736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427057736
Entity Type Individual
Full Name RUSSELL ANDREW WILSON
Other Name RUSSELL A WILSON
Credential MD
Practice Address 1265 Highway 54 W Ste 500b
Fayetteville
GA 30214-4556
Mailing Address 1265 Highway 54 W
Suite 500b
Fayetteville
GA 30214-4548
Practice Telephone 7707195660
Practice Fax Number 6783365955
Mailing Telephone 7707195660
Mailing Fax Number 6788174339
Enumeration Date 2005-07-19
Last Update Date 2020-07-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 040590 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 00711389C 05
GA RAILROAD MEDICARE P00081030 01

Other Providers RUSSELL WILSON

NPI Name Taxonomy Address Enumeration
1205844230 Russell Clayton Wilson Dentist 2738 W Main St, Visalia, CA 93291-4332 2006-08-04
1780675967 Russell Carl Wilson Emergency Medical Technician, Paramedic 1101 W Eagle Dr, Suite B, Decatur, TX 76234-3721 2005-11-04
1124068432 Russell Chapman Wilson Radiology 3949 Browning Pl, Raleigh, NC 27609-6504 2006-06-07
1487636627 Russell L. Wilson Radiology 1215 Duff Ave, Ames, IA 50010-3014 2005-11-15

Office Location

Street Address 1265 HIGHWAY 54 W STE 500B
City FAYETTEVILLE
State GA
Zip Code 30214-4556

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568017820 Fayette Surgical Associates, LLC Surgery 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214-4556 2019-08-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
Find all providers in zip 30214

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164763918 Cynthia J Amram Surgery 3015 E Joyce Blvd, Fayetteville, AR 72703-4526 2013-03-04
1275844177 Yana Mikhaylov Surgery 4140 Ferncreek Dr Ste 601, Fayetteville, NC 28314-2569 2010-06-24
1043541725 Janine Nicole Pettiford Surgery 325 North Jeff Davis Dr, Fayetteville, GA 30214 2010-01-20
1548410103 Erin M King Surgery 1260 Highway 54 W Ste 100, Fayetteville, GA 30214-4513 2008-09-19
1881851699 Timothee J Friesen Surgery 1265 Highway 54 W Ste 309, Fayetteville, GA 30214-4537 2008-05-20
1790954352 Obinna Chukwudi Igwilo Surgery 7300 S Raeford Rd Rm 2528, Fayetteville, NC 28304-6162 2008-02-27
1942387055 Steven Anthony Battaglia Surgery 1061 Brunswick Dr, Fayetteville, OH 45118 2006-11-01
1225118441 David Crump Surgery 108 Medical Center Blvd Ste G25, Fayetteville, TN 37334-2741 2006-10-16
1265544035 Yong S Kwon Surgery 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 2006-08-31
1346261989 Rudy Theodore Cobb Surgery 305 College St W, Fayetteville, TN 37334-2911 2006-07-21
Find all providers in FAYETTEVILLE

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 30214

Improve Information

Please comment or provide details below to improve the information on RUSSELL ANDREW WILSON.

Dataset Information

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.

Trending Searches