JOAN WILSON (MD) – Obstetrics & Gynecology Physician, NPI 1124097282
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JOAN WILSON (MD)
2206 Wilborn Ave
South Boston, VA 245921630
Phone: (434) 517-8627
Fax: (434) 517-8080
Type: Location
159, Executive Drive, Sandy Shores, Danville City, Virginia, 24541, United States
STE E
DANVILLE, VA 245414160
Phone: (434) 572-8921
Fax: (434) 572-2063
Type: Mailing
2212, Wilborn Avenue, South Boston, Halifax County, Virginia, 24592, United States
SOUTH BOSTON, VA 245921630
Phone: (434) 572-8921
Fax: (434) 572-2063
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: 2011-02-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110221000808 | I | Obstetrics/Gynecology | VA | 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 24592)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | VA | 82270 | Stool analysis for blood to screen for colon tumors | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Clinical Social Worker | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | VA | |
| Clinical Social Worker | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | VA | |
| Family Practice | VA |
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