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

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1912392572

Keadrea Wilson is a Pediatric Medicine in Memphis, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2015, 11 years ago. Practices with UT Medical Group Inc, a 95-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1407 Union Ave Ste 700
Memphis, TN 38104-3641
Phone: (214) 456-2735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 0000057291 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912392572
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2015
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address1407 Union Ave Ste 700, Memphis, TN 38104-3641

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Ut Medical Group Inc — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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