Active NPI
Wilson's Wellness Clinical Care, LLC
- Primary Care Clinic/Center
- Stone Mountain, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- WILSON'S WELLNESS CLINICAL CARE, LLC
- Practice address
- 1310 Rockbridge Rd Ste F
Stone Mountain, GA 30087-3163 - Phone
- (770) 864-5538
- Fax
- (404) 393-4038
- NPI assigned
- Jun 1, 2017
- Last updated
- Oct 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dana Wilson, FNP
- Title
- Owner/Manager
- Phone
- (404) 981-3936
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1310 Rockbridge Rd Ste F
Stone Mountain, GA 30087-3163
Mailing address
1310 Rockbridge Rd Ste F
Stone Mountain, GA 30087-3163
Phone (770) 864-5538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1525 E Park Place Blvd
Stone Mountain, GA 30087
Phone (404) 981-3936
1310 Rockbridge Rd
Ste F
Stone Mtn, GA 30087
Phone (770) 864-5538
1525 E Park Place Blvd
Ste 300
Stone Mtn, GA 30087
Phone (404) 981-3936
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Stone MTN, GA
- NPI 1518383959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1073041166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 ROCKBRIDGE RD STE F",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873163",
"telephone_number": "770-864-5538",
"fax_number": "404-393-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 ROCKBRIDGE RD STE F",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873163",
"telephone_number": "770-864-5538",
"fax_number": "404-393-4038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON'S WELLNESS CLINICAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-01",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "404-981-3936",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.