Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jimmy-John Clifford Wilson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1194875112

Jimmy-John Clifford Wilson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Greenville, North Carolina. Qualified in 2006, 20 years ago. Practices with East Carolina Anesthesia Associates PLLC, a 680-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
20
Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2080 W Arlington Blvd Ste B
Greenville, NC 27834
Phone: (252) 752-2140
Fax: (252) 689-6502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 075318 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 162260 (NC)

Record details

NPI number1194875112
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice East Carolina Anesthesia Associates Pllc — 680 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenville