Jerry Don Wilson , PA-C
Physician Assistant • Shamrock, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jerry Wilson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jerry Wilson, PA-C was a registered Physician Assistant practicing in Shamrock, TX. Throughout an active medical career spanning 16 years, Jerry Wilson provided care at the practice location at 1010 S MAIN ST until profile deactivation on 2024-10-30.
Practice Location & Contact Primary Location
1010 S Main St
Shamrock, TX 790792820
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Shamrock, TX
Practicing in Shamrock, TX (11140 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Family Nurse Practitioner
Emergency Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 30, 2024
NPI status registered as active in NPPES database
Registered at 1010 S MAIN ST, SHAMROCK, TX 790792820 (Tel: 8062565148)
Registered at 1010 S MAIN ST, SHAMROCK, TX 790792820 (Tel: 8062565148)
Recorded as JERRY WILSON, PA-C
Physician Assistant (License #PA00189 in TX)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1010 S Main St
Shamrock, TX 790792820
Phone: 8062565148
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