LOIS WILDER (PA-C) – Medical Physician Assistant, NPI 1063504686

Medical Physician Assistant

LOIS WILDER (PA-C) is a healthcare provider. based in Braselton, Georgia. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 002947 (GA). The NPI Number for LOIS WILDER (PA-C) is 1063504686

Main info

Female

Name

LOIS WILDER (PA-C)

NPI

1063504686

Phone

Not provided

Address

1860 KATHY WHITWORTH DR

Enumeration Date

29 September 2006

Last Update Date

8 July 2007

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

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Provider Addresses for LOIS WILDER (PA-C)

1860, Kathy Whitworth Drive, Braselton, Gwinnett County, Georgia, 30517, United States
BRASELTON, GA 305174044
Phone:
Type: Mailing
Clifton Road Northeast, Candler Park, Druid Hills, DeKalb County, Georgia, 30329, United States
ATLANTA, GA 303221013
Phone: (404) 778-3956
Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 30517)

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Reviews

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Frequently asked questions

What number should I use to identify LOIS WILDER (PA-C) for billing?

Administrative and clinical systems typically use NPI 1063504686 for LOIS WILDER (PA-C).

Is LOIS WILDER (PA-C)'s NPI status active today?

Active status means LOIS WILDER (PA-C)'s NPI record is not deactivated in the public file.

What does the directory say LOIS WILDER (PA-C) does?

Insurance directories may phrase it differently, but here LOIS WILDER (PA-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.

What city is tied to LOIS WILDER (PA-C)?

The directory associates LOIS WILDER (PA-C) with Braselton, Georgia. Check all listed addresses for suites or satellite offices.

Can I export LOIS WILDER (PA-C)'s record?

You can download the official NPPES record; we summarize key fields for readability.