DR. NICOLE EDITH WILSON (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1073806956
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
433 PODIATRY in GA
Provider Addresses for DR. NICOLE EDITH WILSON (D.P.M.)
204 WESTSIDE DR
DOUGLAS, GA 315333528
Phone: (912) 384-4121
Fax: (912) 389-1817
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $170.
Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.
Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($155).
Total Amount
$170
General + Research + Ownership
Payments
3
Total payment records
General Amount
$170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $155 |
| Integra LifeSciences Corporation | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-08-03
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150803002861 | I | Podiatry | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 603 | 224 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 277 | 132 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 274 | 160 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 199 | 122 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 53 | 52 | $0 |
Insurance plans in this area (ZIP 31533)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | GA | 11042 | Removal of skin and tissue first 20 sq cm or less | 85 | 19 |
| PODIATRY | GA | 73630 | X-ray of foot, minimum of 3 views | 255 | 138 |
| PODIATRY | GA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 16 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | GA | |
| P O D I A T R Y | MD | |
| P O D I A T R Y | GA | |
| - | SC | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | GA | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | GA | |
| P O D I A T R Y | MI |
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