Naomi C'Pamela Wilson, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN263937 Issued in GA

Practice address

5 Concourse Pkwy FL 31
Sandy Springs, GA 30328-5350

Phone

(757) 589-2645

NPI assigned

Apr 27, 2023

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wellbe Senior Medical Group of Georgia, P. C.

  • Internal Medicine Physician
  • Sandy Springs, GA
  • NPI 1205463163
  Medicare reassignment NPD
• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132
  NPD (past)

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1083302038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 VELTRE PL SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CONCOURSE PKWY FL 31",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285350",
            "telephone_number": "757-589-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NAOMI",
        "middle_name": "C'PAMELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN263937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyra Williams
• Reagan Williamson
• Sheneice Willis, BCBA
• Alicia Wilson
• Constance Wilson, RBT
• Tanya M Wilson, LPC
• Mireille Tercier Winn
• Rebecca Winter
• Amy Kathryn Wiseman, PTA, MS
• Yancy Max Witt, PHARM D

• Primary Care Nurse Practitioner in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.