Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Johnny M Wilson, M.D.

Family Medicine Physician in Willow Park, TX · enumerated 2005 · practices at Texas Grins Family Dentistry, PA.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114910080

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Registry record

Entity type Individual (Type 1)

Name Dr. Johnny M Wilson

Credential M.D.

Sex Male

Practice address 136 El Chico Trl, Suite 103, Willow Park, TX, 76087

Phone (817) 441-1441

Fax (817) 441-1443

Enumeration date Aug 25, 2005

Last updated in NPPES Mar 29, 2010

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License L4177 (TX) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1164502	Other	TX	AFFILIATED HEALTHCARE
L4177	Other	TX	UNICARE
0072KC	Other	TX	BLUE CROSS BLUE SHIELD
0082174	Other	TX	BLUE LINK
1354278	Other	TX	FOCUS
7111148	Other	TX	AETNA/TRS COORDINATED CAR
158350203	Medicaid	TX	-
158350201	Medicaid	TX	-
WILJC67146	Other	TX	CHIP HEALTHPLAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Johnny Wilson?

Johnny Wilson is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

Julia Talboys Family Nurse Practitioner · Willow Park, TX NPI 1194753368 Devona Martin Pediatrics Physician · Willow Park, TX NPI 1760675961 Texas Grins Family Dentistry, PA Customized Equipment (DME) · Willow Park, TX NPI 1619252293 Sperry Binnicker Primary Care Nurse Practitioner · Willow Park, TX NPI 1073994448

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-29.