TINA WILSON (M.D.) – Infectious Disease Physician, NPI 1376579854

TINA WILSON (M.D.) is a healthcare provider. based in Jackson, Tennessee. specializing in INFECTIOUS DISEASE. They hold the professional credentials M.D.. They hold a License No. 53942 (TN). The NPI Number for TINA WILSON (M.D.) is 1376579854

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
TINA WILSON (M.D.)
NPI
1376579854
Phone
(731) 660-8781
Address
1804 HIGHWAY 45 BYP STE 604
Enumeration Date
25 June 2006
Last Update Date
17 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7315415000
Graduation Year
1998 (28 years ago)
PAC ID
9638181076
Group Practice PAC ID
3678481975
Professional Enrollment ID
I20160518002744
Address ID
TN383013923JA620XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

207 INFECTIOUS DISEASE in TN

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Provider Addresses for TINA WILSON (M.D.)

  • 1804 HIGHWAY 45 BYP STE 604

    JACKSON, TN 383054403

    Phone: (731) 660-8781

    Fax: (731) 660-8739

    Type: Mailing

  • Jackson-Madison County General Hospital, 620, Skyline Drive, Hicksville, Jackson, Madison County, West Tennessee, Tennessee, 38301, United States

    JACKSON, TN 38301

    Phone: (731) 541-6067

    Fax: (731) 541-3188

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $393.

Total Amount is formed as General ($393) + Research ($0) + Ownership ($0) = $393.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($164).

Total Amount

$393

General + Research + Ownership

Payments

12

Total payment records

General Amount

$393

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160518002744IInfectious DiseaseTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes892202$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes260202$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4338$0
99214Established patient office or other outpatient visit, 30-39 minutes2015$0
View full utilization report →

Insurance plans in this area (ZIP 38305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678481975View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YVA
Nurse PractitionerTN
Nurse PractitionerTN
Hematology/Oncology, Medical Oncology, HematologyTN
Infectious Disease, Internal MedicineTN
-TN
Nurse PractitionerTN
Gynecological Oncology, Obstetrics/GynecologyTN
Interventional Radiology, Diagnostic RadiologyMI
Diagnostic RadiologyTN

Reviews

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Frequently asked questions

How do I look up TINA WILSON (M.D.) by NPI?
Use NPI 1376579854 when you need to reference TINA WILSON (M.D.) in forms, claims, or directories.
Is TINA WILSON (M.D.)'s NPI currently valid?
The extract we use shows TINA WILSON (M.D.) as active.
What field does TINA WILSON (M.D.) work in?
You can think of TINA WILSON (M.D.) as practicing within Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
What location shows for TINA WILSON (M.D.)?
We surface Jackson, Tennessee for TINA WILSON (M.D.) based on available NPPES addresses.
Is TINA WILSON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1376579854. Always confirm identity and privileges with the practice and licensing boards.

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