Doctor profile · Federal record

Dr. Michelle Nicholson-Wilson, MD

Family Medicine Physician · Maxton, NC

  • NPI 1114936069
  • 20 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
610 E Dr Martin Luther King JR Dr
Maxton, NC 283641800
(910) 844-5410
fax (910) 844-3290
Mailing address
60 Commerce Drive, P O Box 1659
Pembroke, NC 283721659

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
June 21, 2010
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
North Carolina #94-00955
Medicaid
NC #7988330 89015A5

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1114936069. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$130
Transactions
3
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Astellas Pharma US INC 3 $130.16

By nature of payment

Education
$100
Food and Beverage
$30

Frequently asked questions

Auto-generated from federal data
What is Dr. Michelle Nicholson-Wilson's medical specialty?
Dr. Michelle Nicholson-Wilson practices Family Medicine Physician in Maxton, NC.
Where does Dr. Michelle Nicholson-Wilson practice?
Dr. Michelle Nicholson-Wilson practices at 610 E Dr Martin Luther King JR Dr, Maxton, NC 283641800. Office phone: 9108445410.
What is Dr. Michelle Nicholson-Wilson's NPI?
Dr. Michelle Nicholson-Wilson's National Provider Identifier (NPI) is 1114936069, issued by NPPES.