SHIRLEY DIANN WILSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1790711851

SHIRLEY DIANN WILSON (M.D.) is a healthcare provider. based in Brunswick, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 034742 (GA). The NPI Number for SHIRLEY DIANN WILSON (M.D.) is 1790711851

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
SHIRLEY DIANN WILSON (M.D.)
NPI
1790711851
Phone
(912) 466-5636
Address
2500 STARLING ST
Enumeration Date
23 June 2006
Last Update Date
29 August 2014

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
6901809516
Group Practice PAC ID
9830093640
Professional Enrollment ID
I20060822000301
Address ID
GA315204271BR2500XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

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Provider Addresses for SHIRLEY DIANN WILSON (M.D.)

  • Renue Plastic Surgery, 2500, Starling Street, Brunswick, Glynn County, Georgia, 31520, United States

    SUITE 606

    BRUNSWICK, GA 315204219

    Phone: (912) 466-5636

    Fax: (912) 466-5639

    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 8 Open Payments records for all available years, with a total value of $155.

Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($43).

Total Amount

$155

General + Research + Ownership

Payments

8

Total payment records

General Amount

$155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

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: 2024-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060822000301IObstetrics/GynecologyGATBD
I20240226002208IObstetrics/GynecologyNCTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3737$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory3636$0
82270Stool analysis for blood to screen for colon tumors2626$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina2121$0
81003Automated urinalysis test2017$0
View full utilization report →

Insurance plans in this area (ZIP 31520)

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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: 9830093640View full group profile
NameSpecialtyState
Infectious DiseaseGA
Family PracticeGA
Physician AssistantGA
Family PracticeGA
Physician AssistantGA
Internal MedicineGA
-GA
Cardiovascular Disease (Cardiology), Internal MedicineGA
-GA
-GA

Reviews

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Frequently asked questions

What is the registry number for SHIRLEY DIANN WILSON (M.D.)?
The registry entry for SHIRLEY DIANN WILSON (M.D.) shows NPI 1790711851.
Is SHIRLEY DIANN WILSON (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists SHIRLEY DIANN WILSON (M.D.) as active.
Which specialty label fits SHIRLEY DIANN WILSON (M.D.)?
NPPES ties SHIRLEY DIANN WILSON (M.D.) to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is SHIRLEY DIANN WILSON (M.D.) tied to Brunswick, Georgia?
If you are local to Brunswick, Georgia, SHIRLEY DIANN WILSON (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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