TERESA LYNN WILSON (NP-C) – Family Nurse Practitioner, NPI 1710269220

TERESA LYNN WILSON (NP-C) is a healthcare provider. based in Douglas, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. RN098350 (GA). The NPI Number for TERESA LYNN WILSON (NP-C) is 1710269220

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
TERESA LYNN WILSON (NP-C)
NPI
1710269220
Phone
(912) 383-7826
Address
306 WESTSIDE DR
Enumeration Date
12 September 2011
Last Update Date
18 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
0042441198
Group Practice PAC ID
4789608738
Professional Enrollment ID
I20140402002311
Address ID
GA315333530Do306XXDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for TERESA LYNN WILSON (NP-C)

  • 306 WESTSIDE DR

    DOUGLAS, GA 315333530

    Phone: (912) 383-7826

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 200 Open Payments records for all available years, with a total value of $4,134.

Total Amount is formed as General ($4,134) + Research ($0) + Ownership ($0) = $4,134.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($790).

Total Amount

$4,134

General + Research + Ownership

Payments

200

Total payment records

General Amount

$4,134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2014-04-02

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
I20140402002311INurse PractitionerGATBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg40029$0
99213Established patient office or other outpatient visit, 20-29 minutes379128$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg18023$0
J0696Injection, ceftriaxone sodium, per 250 mg16529$0
J1885Injection, ketorolac tromethamine, per 15 mg15621$0
View full utilization report →

Insurance plans in this area (ZIP 31533)

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Provider's Procedures

TERESA LYNN WILSON (NP-C) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERGA20610Aspiration and/or injection of large joint or joint capsule1211

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: 4789608738View full group profile
NameSpecialtyState
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Internal MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Does TERESA LYNN WILSON (NP-C) have a public NPI I can cite?
Public records show TERESA LYNN WILSON (NP-C) under NPI 1710269220.
Does the public listing show TERESA LYNN WILSON (NP-C) as active?
TERESA LYNN WILSON (NP-C)'s NPI record reflects an active status in NPPES.
What services align with TERESA LYNN WILSON (NP-C)'s listing?
TERESA LYNN WILSON (NP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TERESA LYNN WILSON (NP-C)?
TERESA LYNN WILSON (NP-C) is associated with Douglas, Georgia in the same public data insurers reference.
Who maintains TERESA LYNN WILSON (NP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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