SUSAN B WILSON (N.P.) – Nurse Practitioner, NPI 1205844842

SUSAN B WILSON (N.P.) is a healthcare provider. based in Cedartown, Georgia. specializing in Nurse Practitioner. They hold the professional credentials N.P.. They hold a License No. 045387 (GA). The NPI Number for SUSAN B WILSON (N.P.) is 1205844842

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN B WILSON (N.P.)
NPI
1205844842
Phone
(770) 748-5212
Address
134 E FAIRMOUNT AVE
Enumeration Date
3 August 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7706847846
Graduation Year
1995 (31 years ago)
PAC ID
2860595436
Group Practice PAC ID
5193633386
Professional Enrollment ID
I20070320000324
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SUSAN B WILSON (N.P.)

  • East Fairmount Avenue, Cedartown, Polk County, Georgia, 30125, United States

    CEDARTOWN, GA 301252706

    Phone: (770) 748-5212

    Fax: (770) 748-2944

    Type: Location

  • 420, 2nd Avenue, Rome, Floyd County, Georgia, 30161, United States

    SUITE 103

    ROME, GA 301613224

    Phone: (706) 509-3278

    Fax: (706) 509-4608

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 30125)

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Provider's Procedures

SUSAN B WILSON (N.P.) performs procedures in Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERGA83036Hemoglobin A1C level8646
NURSE PRACTITIONERGA85610Blood test, clotting time5815

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193633386View full group profile
NameSpecialtyState
Family PracticeGA
Physician AssistantGA
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA
-FL
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Nurse PractitionerGA
Family PracticeGA
-GA

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Frequently asked questions

Is there an official ID for SUSAN B WILSON (N.P.) in U.S. healthcare records?
The official identifier for SUSAN B WILSON (N.P.) is NPI 1205844842.
Is SUSAN B WILSON (N.P.) still an active registrant?
SUSAN B WILSON (N.P.) carries an active NPI according to the public dataset.
How would a patient describe SUSAN B WILSON (N.P.)'s focus?
For SUSAN B WILSON (N.P.), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SUSAN B WILSON (N.P.)?
Travel planning: use Cedartown, Georgia as the reference point for SUSAN B WILSON (N.P.), then confirm.
When was this NPI issued?
Enumeration for SUSAN B WILSON (N.P.) is noted as August 3, 2006 where the registry provides it.

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