Individual provider

John Wilson, MD

Family Medicine Physician Adult Medicine Physician Medicare enrolled

John Wilson, MD is a Family Medicine Physician in Grants Pass, OR, registered under NPI 1104071224. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 495 SW RAMSEY AVE, Grants Pass, OR 97527. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

495 SW RAMSEY AVE, Grants Pass, OR 97527 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
150495 OR Family Medicine Physician primary
MD37095 TN Adult Medicine Physician

Licences are recorded in 2 states: OR, TN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
0941284566

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Oregon and Tennessee. The practice address on file is in Grants Pass, OR, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

OR Oregon practice address
Licence
150495
Specialty
Family Medicine Physician
Verify with the OR board →
TN Tennessee
Licence
MD37095
Specialty
Adult Medicine Physician
Verify with the TN board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician 150495 OR primary
207QA0505X Adult Medicine Physician Adult Medicine MD37095 TN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104071224 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 18, 2008
Last updatedJul 6, 2010
StatusActive
Sole proprietorNo
CredentialMD
Practice address 495 SW RAMSEY AVE
Grants Pass, OR 97527
(541) 476-6644
Other identifiers 500622415 (OR)
This record was last updated on Jul 6, 2010, roughly 16 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104071224 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 0 7 1 2 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 0 7 2 2 4

Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104071224?
NPI 1104071224 is the National Provider Identifier assigned to John Wilson, MD in Grants Pass, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact John Wilson, MD?
The phone number on file with NPPES is (541) 476-6644, last updated Jul 6, 2010. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does John Wilson, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104071224 a valid number?
Yes. 1104071224 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.