IndividualActive
Jim Wilson, M.D.
NPI 1083690861 · Family Medicine Physician · Johnson City, TN
Jim Wilson, M.D. is a Family Medicine Physician provider in Johnson City, TN (NPI 1083690861).
Provider details
- NPI number
- 1083690861
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 26980 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
917 W Walnut St
Johnson City, TN 37604-6527
Phone: (423) 439-6464
Fax: (423) 439-7118
Street-level locationGet directions
Mailing address
P. O. Box 699
Mountain Home, TN 37684
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jim Wilson's NPI number?
- Jim Wilson's National Provider Identifier (NPI) is 1083690861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jim Wilson's specialty?
- Jim Wilson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jim Wilson located?
- Jim Wilson's practice location on file with NPPES is 917 W Walnut St, Johnson City, TN 37604-6527.
- What is Jim Wilson's phone number?
- The practice phone number listed in the NPPES registry for Jim Wilson is (423) 439-6464.
- Is Jim Wilson's NPI active?
- Yes — Jim Wilson's NPI (1083690861) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.