LINDA ALICE WILSON (PH.D.) – Clinical Psychologist, NPI 1790840981

LINDA ALICE WILSON (PH.D.) is a healthcare provider. based in Columbus, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 1288 (GA). The NPI Number for LINDA ALICE WILSON (PH.D.) is 1790840981

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
LINDA ALICE WILSON (PH.D.)
NPI
1790840981
Phone
(706) 653-6841
Address
2325 BROOKSTONE CENTRE PARKWAY
Enumeration Date
27 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Secondary Phone
7066536841
Graduation Year
1988 (38 years ago)
PAC ID
4587677026
Group Practice PAC ID
8527054162
Professional Enrollment ID
I20110301000679
Address ID
GA319044500CO2325XPKWY400
Telehealth
Yes
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

482 CLINICAL PSYCHOLOGIST in GA

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Provider Addresses for LINDA ALICE WILSON (PH.D.)

  • 2325, Brookstone Centre Parkway, Brookstone, Columbus, Muscogee County, Georgia, 31904, United States

    COLUMBUS, GA 31904

    Phone: (706) 653-6841

    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)

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: 2011-03-01

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
I20110301000679IClinical PsychologistGATBD

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
90837Psychotherapy, 1 hour37830$0
View full utilization report →

Insurance plans in this area (ZIP 31904)

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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: 8527054162View full group profile
NameSpecialtyState
Clinical PsychologistGA
Clinical PsychologistGA
Clinical PsychologistGA
Clinical PsychologistGA
Clinical PsychologistGA
Clinical PsychologistGA
Clinical PsychologistTX
Clinical Social WorkerGA
Clinical PsychologistGA
Clinical PsychologistGA

Reviews

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Frequently asked questions

How do payers reference LINDA ALICE WILSON (PH.D.)?
For LINDA ALICE WILSON (PH.D.), use NPI 1790840981 as the unique 10-digit identifier.
Is there an active status for LINDA ALICE WILSON (PH.D.)?
For scheduling context, LINDA ALICE WILSON (PH.D.) is shown as active in the registry.
What expertise is attributed to LINDA ALICE WILSON (PH.D.)?
LINDA ALICE WILSON (PH.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is LINDA ALICE WILSON (PH.D.) located near Columbus?
LINDA ALICE WILSON (PH.D.) currently maps to Columbus, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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