DR. LAUREN LEA WILSON (MD) – Psychiatry Physician, NPI 1043701741
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,953 PSYCHIATRY in FL
Provider Addresses for DR. LAUREN LEA WILSON (MD)
2606 CENTENNIAL PL
TALLAHASSEE, FL 323080572
Phone: (850) 205-0189
Fax: (850) 329-2903
Type: Mailing
1407 M D Ln Ste A
Tallahassee, FL 323085349
Phone: (850) 877-0635
Fax: (850) 205-0195
Type: Location
1407 M D Ln Ste B
Tallahassee, FL 323085349
Phone: (856) 417-7961
Fax: (850) 312-3983
Type: Location
801 N Quincy St Ste 601
Arlington, VA 222031729
Phone: (703) 812-4642
Type: Location
2417, Ravenwood Avenue Northwest, Dorchester Court, Roanoke, Salem (city), Virginia, 24012, United States
ROANOKE, VA 240123243
Phone: (850) 508-2598
Type: Mailing
4230, Homewood Road, Knoxville, Knox County, Tennessee, 37918, United States
KNOXVILLE, TN 37918
Phone: (850) 508-2598
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240124001918 | I | Psychiatry | VA | TBD |
| I20240125000025 | I | Psychiatry | DC | TBD |
| I20250904002568 | I | Psychiatry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32308)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | FL | |
| Physician Assistant | FL | |
| P S Y C H I A T R Y | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | PR | |
| Nurse Practitioner | FL | |
| Clinical Psychologist | FL | |
| P S Y C H I A T R Y | FL |
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