DR. KARISSA KING WILSON (MD) – Family Medicine Physician, NPI 1306006432

DR. KARISSA KING 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. 066106 (GA). The NPI Number for DR. KARISSA KING WILSON (MD) is 1306006432

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. KARISSA KING WILSON (MD)
NPI
1306006432
Phone
(706) 922-0600
Address
PO BOX 2344
Enumeration Date
12 June 2008
Last Update Date
29 August 2012

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
7069220600
Graduation Year
2008 (18 years ago)
PAC ID
9638222649
Group Practice PAC ID
6608953633
Professional Enrollment ID
I20110812000278
Address ID
GA309062406AU2604XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for DR. KARISSA KING 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 25 Open Payments records for all available years, with a total value of $507.

Total Amount is formed as General ($507) + Research ($0) + Ownership ($0) = $507.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($132).

Total Amount

$507

General + Research + Ownership

Payments

25

Total payment records

General Amount

$507

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: 2011-08-12

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
I20110812000278IFamily 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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Provider's Procedures

DR. KARISSA KING WILSON (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA83036Hemoglobin A1C level2717

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: 6608953633View full group profile
NameSpecialtyState
Internal MedicineGA
Mental Health CounselorGA
Internal Medicine, Pediatric MedicineGA
Nurse PractitionerGA
Physician AssistantGA
Family PracticeGA
Family PracticeGA
Nurse PractitionerSC
Physician AssistantGA
Clinical Social WorkerGA

Reviews

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Frequently asked questions

Is DR. KARISSA KING WILSON (MD) listed with a National Provider Identifier?
Yes — DR. KARISSA KING WILSON (MD) has NPI 1306006432 on file in the registry.
Active or inactive — what applies to DR. KARISSA KING WILSON (MD)?
You should see DR. KARISSA KING WILSON (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. KARISSA KING WILSON (MD)?
DR. KARISSA KING WILSON (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KARISSA KING WILSON (MD)?
Travel planning: use Augusta, Georgia as the reference point for DR. KARISSA KING WILSON (MD), then confirm.
When was this NPI issued?
Enumeration for DR. KARISSA KING WILSON (MD) is noted as June 12, 2008 where the registry provides it.