DR. JEREMIAH J WILSON (MD) – Family Medicine Physician, NPI 1285894352

DR. JEREMIAH J WILSON (MD) is a healthcare provider. based in Augusta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 066105 (GA). The NPI Number for DR. JEREMIAH J WILSON (MD) is 1285894352

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMIAH J WILSON (MD)
NPI
1285894352
Phone
(706) 922-0600
Address
PO BOX 2344
Enumeration Date
12 June 2008
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
7069450810
Graduation Year
2008 (18 years ago)
PAC ID
8123171022
Group Practice PAC ID
6002812401
Professional Enrollment ID
I20110811000413
Address ID
GA309095626AU1321XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for DR. JEREMIAH J WILSON (MD)

  • PO BOX 2344

    AUGUSTA, GA 309032344

    Phone: (706) 922-0600

    Fax: (706) 922-0604

    Type: Mailing

  • 127, Telfair Street, Augusta, Richmond County, Georgia, 30901, United States

    AUGUSTA, GA 309012590

    Phone: (706) 922-0600

    Fax: (706) 922-0604

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,025.

Total Amount is formed as General ($1,025) + Research ($0) + Ownership ($0) = $1,025.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ViiV Healthcare Company ($254).

Total Amount

$1,025

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,025

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2011-08-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110811000413IFamily 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 30903)

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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: 6002812401View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Pain ManagementVA
Internal MedicineGA
Nurse PractitionerGA
Family PracticeGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Family PracticeGA
Orthopedic SurgeryWV
N E U R O S U R G E R YGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is there an official ID for DR. JEREMIAH J WILSON (MD) in U.S. healthcare records?
The official identifier for DR. JEREMIAH J WILSON (MD) is NPI 1285894352.
Active or inactive — what applies to DR. JEREMIAH J WILSON (MD)?
You should see DR. JEREMIAH J WILSON (MD) as active in CMS-hosted NPPES data.
What kind of doctor is DR. JEREMIAH J WILSON (MD)?
DR. JEREMIAH J WILSON (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JEREMIAH J WILSON (MD) located near Augusta?
DR. JEREMIAH J WILSON (MD) currently maps to Augusta, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.