CORA WILSON (PA-C) – Physician Assistant, NPI 1760149991

CORA WILSON (PA-C) is a healthcare provider. based in Rickman, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4795 (TN). The NPI Number for CORA WILSON (PA-C) is 1760149991

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CORA WILSON (PA-C)
NPI
1760149991
Phone
Not provided
Address
1679 OKALONA RD
Enumeration Date
22 November 2021
Last Update Date
31 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9315287312
Graduation Year
2021 (5 years ago)
PAC ID
9436544954
Group Practice PAC ID
7911414826
Professional Enrollment ID
I20220321001419
Address ID
TN385064006CO1120XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for CORA WILSON (PA-C)

  • 1679 OKALONA RD

    RICKMAN, TN 385801957

    Phone:

    Type: Mailing

  • 8401 HWY 111

    BYRDSTOWN, TN 385491006

    Phone: (931) 864-3187

    Type: Location

  • 1120 SAMS ST

    COOKEVILLE, TN 385064006

    Phone: (931) 528-7312

    Fax: (931) 528-7377

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $971.

Total Amount is formed as General ($971) + Research ($0) + Ownership ($0) = $971.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($350).

Total Amount

$971

General + Research + Ownership

Payments

50

Total payment records

General Amount

$971

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

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: 2022-03-21

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
I20220321001419IPhysician AssistantTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38580)

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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: 7911414826View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeTN
Physician AssistantTN

Reviews

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Frequently asked questions

What is the standard ID for CORA WILSON (PA-C) in the U.S.?
In the U.S., CORA WILSON (PA-C) is identified by NPI 1760149991.
Quick check: is CORA WILSON (PA-C) active?
Public NPPES data shows CORA WILSON (PA-C) with an active NPI status right now.
Which specialty label fits CORA WILSON (PA-C)?
NPPES ties CORA WILSON (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit CORA WILSON (PA-C) in Rickman, Tennessee?
For routing, start with Rickman, Tennessee for CORA WILSON (PA-C), then verify phone and hours locally.
Can I export CORA WILSON (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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