KOMIYA WILKS (LCSW) – Clinical Social Worker, NPI 1083066369
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
302 CLINICAL SOCIAL WORKER in MS
Provider Addresses for KOMIYA WILKS (LCSW)
53 LIBERTY WOODS DR
FORT STEWART, GA 313151793
Phone: (662) 654-1613
Type: Mailing
423 FREDERICK ST
SARDIS, MS 386661940
Phone: (662) 654-1613
Type: Mailing
152 HIGHWAY 7 S
OXFORD, MS 386555392
Phone: (662) 234-7521
Fax: (662) 236-3071
Type: Location
423 Frederick St
Sardis, MS 386661940
Phone: (662) 654-1613
Type: Location
1518 Airport Rd
Hinesville, GA 313139439
Phone: (912) 559-5536
Type: Location
415 Highway 6 W
Oxford, MS 386559101
Phone: (662) 268-2400
Type: Location
Airport Road, Walthourville, Liberty County, Georgia, 31313, United States
HINESVILLE, GA 313139439
Phone: (912) 559-5536
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20250606003333 | I | Clinical Social Worker | GA | TBD |
| I20250611000948 | I | Clinical Social Worker | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31315)
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