Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Tara Nicole Wilson, PA-C

Individual provider Physician Assistant · NPI 1174006035

MS. Tara Nicole Wilson, PA-C is a Physician Assistant in Washington, District of Columbia. Qualified in 2018, 8 years ago. Practices with Moses Cone Medical Services Inc, a 217-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

110 Irving Sreet NW Rm 4B-42
Washington, DC 20010-2975
Phone: (724) 831-6122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 N Elm St, Greensboro, NC 27401-1004 — (336) 522-8999

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11443 (NC)

Record details

NPI number1174006035
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 7, 2018
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Moses Cone Medical Services Inc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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