Provider Type Icon

JACOB WILSON MD NPI 1780181016


NPI Information

NPI: 1780181016
Provider Name: JACOB WILSON, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: EMERGENCY PHYSICIANS AT SUMNER PLLC

PECOS Registration: Yes

Address:
1313 21ST AVENUE, SOUTH
703 OXFORD HOUSE
NASHVILLE, TN
ZIP 37232
Phone: (615) 936-0087
Get Directions

Jacob Wilson, MD is an emergency medicine in Nashville, TN with 6 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Jacob Wilson, MD NPI is 1780181016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1313 21ST AVENUE, SOUTH
703 OXFORD HOUSE
NASHVILLE, TN
ZIP 37232-700
Phone: (615) 936-0087

The NPI 1780181016 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2018 and was last updated on 6/30/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207P00000XEmergency Medicine60281TENNESSEEYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.