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

Individual provider Family Medicine Physician · NPI 1134113749

Jeffrey Wilson, MD is a Family Practice in Cranston, Rhode Island. Graduated from Hahnemann University College of Medicine in 1998, 28 years ago. Practices with Family Health and Sports Medicine LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
28
Trained at
Hahnemann University College of Medicine
Licensed in
RI
In the registry since
2005
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

725 Reservoir Ave Ste 102
Cranston, RI 02910-4448
Phone: (401) 943-6910
Fax: (401) 946-5130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10483 (RI)

Record details

NPI number1134113749
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 9, 2005
Last updated in NPPESApril 11, 2016
Mailing address70 Glen Ave, Cranston, RI 02905-3702

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Family Health And Sports Medicine Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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