CHARMAINE WILSON (MD) – Psychiatry Physician, NPI 1083870265
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
832 PSYCHIATRY in GA
Provider Addresses for CHARMAINE WILSON (MD)
302 BRANDYWINE CIR
ATLANTA, GA 303502002
Phone:
Type: Mailing
1345 Redmond Cir NW
Rome, GA 301651307
Phone: (910) 742-9243
Type: Location
100 Professional Pl Ste 303
Carrollton, GA 301173872
Phone: (770) 812-5783
Fax: (770) 812-5784
Type: Location
15400 W McNichols Rd
Detroit, MI 482353724
Phone: (313) 416-6262
Fax: (313) 221-8217
Type: Location
4485 FULTON INDUSTRIAL BLVD SW
ATLANTA, GA 303361761
Phone: (706) 449-2884
Type: Mailing
103, Quartz Drive, Villa Rica, Douglas County, Georgia, 30180, United States
VILLA RICA, GA 301803255
Phone: (770) 812-3530
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: 2020-07-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20140331000075 | I | Psychiatry | GA | TBD |
| I20190829000817 | I | Psychiatry | CT | TBD |
| I20200706001764 | I | Psychiatry | FL | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 41 | 38 | $0 |
Insurance plans in this area (ZIP 30350)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| H O S P I T A L I S T | GA | |
| - | GA | |
| - | GA | |
| Hospice/Palliative Care, Hospitalist, Internal Medicine | GA | |
| Hospitalist, Internal Medicine | GA | |
| Hospitalist, Internal Medicine | TN | |
| - | GA | |
| H O S P I T A L I S T | GA | |
| Nurse Practitioner | GA |
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