ANNISSA ANNETTE WILSON (FNP-C) – Family Nurse Practitioner, NPI 1811373194

ANNISSA ANNETTE WILSON (FNP-C) is a healthcare provider. based in Royston, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN177871 (GA). The NPI Number for ANNISSA ANNETTE WILSON (FNP-C) is 1811373194

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ANNISSA ANNETTE WILSON (FNP-C)
NPI
1811373194
Phone
(706) 363-9229
Address
PO BOX 529
Enumeration Date
10 August 2015
Last Update Date
6 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6784503005
Graduation Year
2015 (11 years ago)
PAC ID
4688967995
Group Practice PAC ID
9830693993
Professional Enrollment ID
I20160725001621
Address ID
GA305064331GA4000XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for ANNISSA ANNETTE WILSON (FNP-C)

  • PO BOX 529

    ROYSTON, GA 306620529

    Phone: (706) 363-9229

    Fax: (706) 621-7557

    Type: Mailing

  • 2805 HAMILTON MILL RD

    BUFORD, GA 305194110

    Phone: (678) 541-0588

    Fax: (678) 541-0610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2023-09-27 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($27).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-27

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: 2016-07-25

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
I20160725001621INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes2525$0
99203New patient office or other outpatient visit, 30-44 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 30662)

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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: 9830693993View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerFL
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerFL
Nurse PractitionerGA
Family PracticeFL
General SurgeryGA
Family PracticeVA

Reviews

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Frequently asked questions

What is the registry number for ANNISSA ANNETTE WILSON (FNP-C)?
The registry entry for ANNISSA ANNETTE WILSON (FNP-C) shows NPI 1811373194.
Does the public listing show ANNISSA ANNETTE WILSON (FNP-C) as active?
ANNISSA ANNETTE WILSON (FNP-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits ANNISSA ANNETTE WILSON (FNP-C)?
NPPES ties ANNISSA ANNETTE WILSON (FNP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANNISSA ANNETTE WILSON (FNP-C)?
ANNISSA ANNETTE WILSON (FNP-C) is associated with Royston, Georgia in the same public data insurers reference.
Who maintains ANNISSA ANNETTE WILSON (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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