SARAH JO WILSON (MD) – MOHS-Micrographic Surgery Physician, NPI 1588041099

SARAH JO WILSON (MD) is a healthcare provider. based in Peachtree city, Georgia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 87686 (GA). The NPI Number for SARAH JO WILSON (MD) is 1588041099

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SARAH JO WILSON (MD)
NPI
1588041099
Phone
(770) 676-3376
Address
112 WILSHIRE VILLAGE DR
Enumeration Date
4 May 2015
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7705208561
Graduation Year
2015 (11 years ago)
PAC ID
0648503466
Group Practice PAC ID
1456397660
Professional Enrollment ID
I20210604002556
Address ID
GA302652434NE354XXBYPX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

Provider Addresses for SARAH JO WILSON (MD)

  • 112 WILSHIRE VILLAGE DR

    PEACHTREE CITY, GA 302693138

    Phone: (770) 676-3376

    Type: Mailing

  • 601 Dixie St

    Carrollton, GA 301173816

    Phone: (770) 838-9333

    Type: Location

  • 354 Newnan Crossing Byp Ste 205

    Newnan, GA 302652434

    Phone: (770) 520-8561

    Type: Location

  • 1118 W WRIGHTWOOD AVE APT 1

    CHICAGO, IL 606141315

    Phone: (404) 513-6372

    Type: Mailing

  • 676 N SAINT CLAIR ST STE 1600

    CHICAGO, IL 606112997

    Phone: (404) 513-6372

    Type: Location

  • 5989 Downington Rdg NW

    Acworth, GA 301018478

    Phone: (404) 513-6372

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $3,807.

Total Amount is formed as General ($3,807) + Research ($0) + Ownership ($0) = $3,807.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: GENZYME CORPORATION ($755).

Total Amount

$3,807

General + Research + Ownership

Payments

141

Total payment records

General Amount

$3,807

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2021-06-04

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
I20210604002556IDermatologyGATBD

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
17003Destruction of precancer skin growth, 2-14 growths1,628386$0
99213Established patient office or other outpatient visit, 20-29 minutes775642$0
17000Destruction of precancer skin growth, 1 growth682544$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks429319$0
11102Biopsy of related skin growth, first growth409337$0
View full utilization report →

Insurance plans in this area (ZIP 30269)

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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: 1456397660View full group profile
NameSpecialtyState
D E R M A T O L O G YGA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YLA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

What identifier follows SARAH JO WILSON (MD) across health systems?
The NPI 1588041099 uniquely identifies SARAH JO WILSON (MD) in U.S. healthcare data.
Does the public listing show SARAH JO WILSON (MD) as active?
SARAH JO WILSON (MD)'s NPI record reflects an active status in NPPES.
What services align with SARAH JO WILSON (MD)'s listing?
SARAH JO WILSON (MD)'s public classification highlights MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is SARAH JO WILSON (MD) tied to Peachtree City, Georgia?
If you are local to Peachtree City, Georgia, SARAH JO WILSON (MD) may be relevant to your search.
Why is information missing for SARAH JO WILSON (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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