Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allie Thompson Wilson

Individual provider Physician Assistant · NPI 1053861906

Allie Thompson Wilson is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2016, 10 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
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Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Boulevard Wake Forest Baptist Health Dept OF Surgery
Winston Salem, NC 27157
Phone: (336) 716-3813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06722 (NC)

Record details

NPI number1053861906
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2016
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Winston Salem