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

Mr. John Roger Wilson III, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164507992

Mr. John Roger Wilson III, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Spartanburg, South Carolina. Qualified in 2006, 20 years ago. Practices with Spartanburg Medical Center, a 1,067-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
20
Licensed in
SC
In the registry since
2006
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

101 E Wood St
Spartanburg, SC 29303-3040
Phone: (864) 560-6122
Fax: (864) 560-6276
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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 3102 (SC)

Record details

NPI number1164507992
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedOctober 27, 2006
Last updated in NPPESJuly 2, 2009

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 Spartanburg Medical Center — 1067 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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