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

Dr. Corey Stephen Wilson, MD

Individual provider Hospitalist Physician · NPI 1063859361

Dr. Corey Stephen Wilson, MD is a Family Practice in Charlotte, North Carolina. Qualified in 2013, 13 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
13
Licensed in
FL, NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10905 Providence Rd W Ste G200
Charlotte, NC 28277-1538
Phone: (980) 488-4900
Fax: (980) 488-4905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Sw Archer Rd, Gainesville, FL 32610 — (352) 594-3589

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2024-00423 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME127654 (FL)

Record details

NPI number1063859361
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2013
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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