JOSHUA JAMES WICKSTROM (MD) – Family Medicine Physician, NPI 1275026908

JOSHUA JAMES WICKSTROM (MD) is a healthcare provider. based in Savannah, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 42431 (AL). The NPI Number for JOSHUA JAMES WICKSTROM (MD) is 1275026908

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA JAMES WICKSTROM (MD)
NPI
1275026908
Phone
Not provided
Address
460 MALL BLVD STE B
Enumeration Date
7 June 2018
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
8008276536
Graduation Year
2018 (8 years ago)
PAC ID
9830598366
Group Practice PAC ID
6204907124
Professional Enrollment ID
I20220329000029
Address ID
GA304394042ME380XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,103 FAMILY PRACTICE in GA

Provider Addresses for JOSHUA JAMES WICKSTROM (MD)

  • 460 MALL BLVD STE B

    SAVANNAH, GA 314064891

    Phone:

    Type: Mailing

  • 380A CEDAR ST

    METTER, GA 304394042

    Phone: (800) 827-6536

    Type: Location

  • 304 SHORTER AVE NW STE 201

    ROME, GA 301654256

    Phone: (706) 509-3358

    Fax: (706) 292-7653

    Type: Mailing

  • 125 Memorial Dr

    Reidsville, GA 304534641

    Phone: (800) 827-6536

    Type: Location

  • 1000B N Veterans Blvd

    Glennville, GA 304278603

    Phone: (800) 827-6536

    Type: Location

  • 395 NORTHWOOD DR

    CENTRE, AL 359601045

    Phone: (256) 927-4900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $909.

Total Amount is formed as General ($909) + Research ($0) + Ownership ($0) = $909.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($170).

Total Amount

$909

General + Research + Ownership

Payments

52

Total payment records

General Amount

$909

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-03-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210603000069IFamily PracticeALTBD
I20220329000029IFamily PracticeGATBD

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.

Verify on CMS Revalidation Lookup Tool

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 31406)

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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: 6204907124View full group profile
NameSpecialtyState
N E U R O S U R G E R YGA
-GA
Orthopedic SurgeryGA
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Physical Medicine And Rehabilitation, Interventional Pain ManagementGA
Nurse PractitionerGA
-GA
Hand Surgery, Orthopedic SurgeryGA

Reviews

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Frequently asked questions

How do payers reference JOSHUA JAMES WICKSTROM (MD)?
For JOSHUA JAMES WICKSTROM (MD), use NPI 1275026908 as the unique 10-digit identifier.
Would JOSHUA JAMES WICKSTROM (MD) appear as active to a payer?
You can treat JOSHUA JAMES WICKSTROM (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JOSHUA JAMES WICKSTROM (MD)?
At a glance, JOSHUA JAMES WICKSTROM (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is JOSHUA JAMES WICKSTROM (MD) registered?
Use Savannah, Georgia as the headline location for JOSHUA JAMES WICKSTROM (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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