CHELSEA WILSON (DMD) – General Practice Dentistry, NPI 1497062764

CHELSEA WILSON (DMD) is a healthcare provider. based in Marietta, Georgia. specializing in DENTIST. They hold the professional credentials DMD. They hold a License No. 25971 (TX). The NPI Number for CHELSEA WILSON (DMD) is 1497062764

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
CHELSEA WILSON (DMD)
NPI
1497062764
Phone
(770) 916-5362
Address
1090 NORTHCHASE PKWY SE
Enumeration Date
8 September 2010
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Secondary Phone
8003257284
Graduation Year
2010 (16 years ago)
PAC ID
5991194995
Group Practice PAC ID
3779503560
Professional Enrollment ID
I20220426001266
Address ID
MA024217397LE1XXXXHLXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Digital endpointsOther names

118 DENTIST in TX

Provider Addresses for CHELSEA WILSON (DMD)

  • 1090 NORTHCHASE PKWY SE

    SUITE 150

    MARIETTA, GA 300676405

    Phone: (770) 916-5362

    Fax: (678) 247-7829

    Type: Mailing

  • 2921 BOCA CHICA BLVD

    SUITE 15

    BROWNSVILLE, TX 785213500

    Phone: (956) 544-4505

    Fax: (956) 544-6419

    Type: Location

  • 100 CROSSING BLVD

    FRAMINGHAM, MA 017025555

    Phone: (888) 964-6681

    Type: Location

  • 35 RIVERVIEW TER

    SPRINGFIELD, MA 011081603

    Phone:

    Type: Mailing

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: 2022-04-26

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
I20220426001266IDentistMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity495459$0
88341Special stained specimen slides to examine tissue, each additional procedure4811$0
88311Preparation of tissue for examination by removing any calcium present4725$0
88312Special stained specimen slides to identify organisms including interpretation and report4331$0
88342Special stained specimen slides to examine tissue, initial procedure2222$0
View full utilization report →

Insurance plans in this area (ZIP 30067)

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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: 3779503560View full group profile
NameSpecialtyState
P A T H O L O G YMA
Dermatology, PathologyMA
P A T H O L O G YNC
P A T H O L O G YMA
P A T H O L O G YMA
P A T H O L O G YFL
P A T H O L O G YMA
Dentist, PathologyMA
P A T H O L O G YTX
P A T H O L O G YCT

Reviews

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Frequently asked questions

How is CHELSEA WILSON (DMD) identified in CMS data?
CMS-hosted NPPES data lists CHELSEA WILSON (DMD) with NPI 1497062764.
Can I rely on CHELSEA WILSON (DMD) being an active provider?
As of the registry snapshot, CHELSEA WILSON (DMD) is marked active.
What is CHELSEA WILSON (DMD)'s primary classification?
General Practice Dentistry is the headline specialty for CHELSEA WILSON (DMD) here. Clinical services aligned with this taxonomy classification.
What area does CHELSEA WILSON (DMD) serve?
CHELSEA WILSON (DMD)'s listing highlights Marietta, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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