Brittany Wilson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

64305 Issued in GA

Practice address

3610 Piedmont Rd NE Ste 100
Atlanta, GA 30305-1406

Phone

(770) 490-8559

NPI assigned

Jan 22, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drwilson@lighthousepediatrics.opdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lighthouse Pediatrics LLC

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1861136483
  NPD Authorized official
• Trinity Pediatric Medicine of Fayetteville

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1609247311
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1043497985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 PIEDMONT RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051406",
            "telephone_number": "770-490-8559",
            "fax_number": "339-215-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 PIEDMONT RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051406",
            "telephone_number": "770-490-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRITTANY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "64305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene A Wilson, MD
• Ashley Wilson, NP
• Beverly Wilson, LMT
• Brandi Wilson, LCSW
• Brent A Wilson, MD
• Bryant W Wilson, M.D.
• Catherine Wilson, PA-C
• Chasian Wilson
• Christine Wilson
• Clarice Farrell Wilson, LCSW

• Pediatrics Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.