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

Alphonso Wilson

Individual provider Internal Medicine Physician · NPI 1962039958

Alphonso Wilson is a Hospitalist in Jonesboro, Arkansas. Qualified in 2020, 6 years ago. Practices with Centracare Clinic, a 782-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Florida.

Years since qualifying
6
Licensed in
AR, FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone: (870) 936-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 670 Glades Rd Ste 400, Boca Raton, FL 33431-6464 — (561) 955-2570

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 156192 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence E-16711 (AR)

Record details

NPI number1962039958
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2020
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address608 Sealofts Dr Apt 202, Boynton Beach, FL 33426-3739

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Jonesboro