GEORGE E. WILKERSON M.D. P.A. NPI 1598911877

NPI Information

  • NPI: 1598911877
  • Provider Name: GEORGE E. WILKERSON, M.D., P.A.
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 348 CROSSGATES BLVD STE 2300
    BRANDON, MS
    ZIP 39042
  • Phone: (601) 824-4354

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NPI Details

GEORGE E. WILKERSON, M.D., P.A. is a medical specialty clinic center in Brandon, MS. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GEORGE E. WILKERSON, M.D., P.A. NPI is 1598911877. The provider is registered as an organization entity type.

The provider's business location address is:

348 CROSSGATES BLVD STE 2300
BRANDON, MS
ZIP 39042-634
Phone: (601) 824-4354
Fax: (601) 824-6042

The provider's authorized official is George Edward Wilkerson .
The authorized official title is President and has the following contact phone number (601) 824-4354.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 8/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty05507MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11689758385MEDICARE PINMISSISSIPPI
2130000173OTHERMISSISSIPPIMEDICARE ID - TYPE UNSPECIFIED
300014453MEDICAIDMISSISSIPPI
4B30481MEDICARE UPINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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