Charles Derrick Wilson is a Valley, Alabama based nurse anesthetist with 38 years of experience as Anesthesia Administration. He completed he graduation in 1987. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Charles Derrick Wilson is RN065069 for Anesthesia Administration in Georgia. his current practice location is 4800 48th St, Valley. Patients can reach him at 334-756-1848 or can fax him at 334-756-1854. Charles Derrick Wilson is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1730146309. Charles Derrick Wilson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Charles Derrick Wilson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
38+ years
Medical School Attended:
Other
Graduation Year:
1987
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
4800 48th St, Valley, Alabama, 36854-3666
Phone:
334-756-1848
Fax:
334-756-1854
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2860385895
Enrollment ID:
I20040204000529
NPI Number:
1730146309
NPI Enumeration Date:
27 Apr, 2006
NPI Last Update On:
27 Sep, 2011
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Derrick Wilson are as mentioned below.
License Number
Specialization
State
Status
RN065069
Anesthesia Administration
Georgia
Primary
1-044011
Anesthesia Administration
Alabama
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
St Catherine Hospital (170023)
Garden city, KS
Acute Care Hospital
(110238)
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Charles Derrick Wilson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Amsol Anesthetists Of Georgia, Llc (5193780955)
30
Amsol Anesthetists Of Georgia, Llc (5193780955)
30
P. Michael Skaliy, Md, Pc (6901887223)
2
Sentry Anesthesia Management, Llc (9436372323)
262
Us Anesthesia Partners Of Kansas Pa (7719245299)
17
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Derrick Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
51517977
Other
Alabama
BCBSAL PROVIDER #
000549381E
Medicaid
Georgia
051517977
Medicaid
Alabama
000549381C
Medicaid
Georgia
000549381D
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 661495, Birmingham, Alabama
Zip:
35266-1495
Phone Number:
205-979-5882
Fax Number:
205-979-1248
Patients can reach Charles Derrick Wilson at 4800 48th St, Valley, Alabama or can call to book an appointment on 334-756-1848.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.