JUNE-ANN NICOLE WILSON (MD) – Internal Medicine Physician, NPI 1174521322
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
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Provider Addresses for JUNE-ANN NICOLE WILSON (MD)
1231, Eagles Landing Parkway, Stockbridge, Henry County, Georgia, 30281, United States
SUITE A
STOCKBRIDGE, GA 30281
Phone: (404) 207-1860
Fax: (404) 207-1864
Type: Location
Eagles Landing Parkway, Stockbridge, Henry County, Georgia, 30281, United States
SUITE A
STOCKBRIDGE, GA 302815013
Phone: (404) 207-1860
Fax: (404) 207-1864
Type: Mailing
55 WATER ST FL 2
NEW YORK, NY 100410010
Phone: (646) 680-2888
Fax: (516) 542-5556
Type: Mailing
546 EASTERN PARKWAY
BROOKLYN, NY 112251604
Phone: (718) 604-4800
Fax: (718) 604-4828
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: 2024-04-15
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20240415001658 | I | Internal Medicine | NY | 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 30281)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | NY | |
| Family Practice | NY | |
| Physician Assistant | NY | |
| O P H T H A L M O L O G Y | NY | |
| Physician Assistant | NY | |
| Family Practice | NY | |
| Endocrinology, Internal Medicine | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Internal Medicine | NY | |
| Family Practice | NY |
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