Individual provider Active NPI

Charmaine Wilson, MD

  • Psychiatry Physician
  • Villa Rica, GA
National Provider Identifier
1083870265
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
068021 Issued in GA
Practice address
101 Quartz Dr Ste 103
Villa Rica, GA 30180-3255
Phone
(770) 812-3530
NPI assigned
Aug 6, 2008
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301101215 MI
Psychiatry Physician 2084P0800X ME144680 FL
Psychiatry Physician 2084P0800X 068021 GA Primary
Psychiatry Physician 2084P0800X 2026012136 MO

Addresses

Primary practice location

101 Quartz Dr Ste 103
Villa Rica, GA 30180-3255

Mailing address

4485 Fulton Industrial Blvd SW
Atlanta, GA 30336-1761
Phone (706) 449-2884

Other practice location 1

15400 W McNichols Rd
Detroit, MI 48235-3724
Phone (313) 416-6262

Other practice location 2

1345 Redmond Cir NW
Rome, GA 30165-1307
Phone (910) 742-9243

Other practice location 3

300 68th St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000

Other practice location 4

100 Professional Pl Ste 303
Carrollton, GA 30117-3872
Phone (770) 812-5783

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pinerestCMHS@directaddress.pinerest.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CT, FL, MO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140331000075 GA Practitioner - Psychiatry 1355572611 Reassigns benefits to 7 organizations
I20190829000817 CT Practitioner - Psychiatry 1355572611 Reassigns benefits to 1 organization
I20200706001764 FL Practitioner - Psychiatry 1355572611 Reassigns benefits to 3 organizations
I20260505003017 MO Practitioner - Psychiatry 1355572611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Mercy Aco Clinical Services IncGroup PAC ID 6901188572, 159 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 237-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301101215MIMDPsychiatry Physician
2026012136MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Savannah, LLC CurrentSince Aug 26, 2014 Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Jan 3, 2014 Accepting new patients
Natchaug Hospital, Inc. CurrentSince Jul 24, 2019 Accepting new patients
North Atlanta Professional Services LLC Psychiatry CurrentSince Jun 6, 2024 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince Sep 18, 2020 Accepting new patients
Uhs of Savannah LLC CurrentSince Aug 26, 2014 Accepting new patients
TBJ Behavioral Center LLC Psychiatry CurrentSince Dec 29, 2025 Accepting new patients
Hni Medical Services of Florida, LLC Psychiatry CurrentSince Apr 16, 2020 Accepting new patients
Wilson and Associates Psychiatry Services CurrentSince Oct 13, 2015 Accepting new patients
Lifesource of North Carolina Psychiatry CurrentSince Jan 30, 2025 Accepting new patients
Guiding Light Healthcare Services Psychiatry CurrentSince Mar 29, 2024 Accepting new patients
A Beautiful Mind Psychiatry Psychiatry CurrentSince Apr 5, 2024 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Department of Behavioral Health & Developmental Disabilities CurrentSince Jan 3, 2014 Accepting new patients
Hni Medical Services of Georgia, LLC Psychiatry CurrentSince Jan 1, 2021 Accepting new patients
Lifesource of North Carolina Psychiatry CurrentSince Jan 30, 2025 Accepting new patients
Pathways Center for Behavioral and Developmental Growth Past Accepting new patients
Pathways Center for Behavioral & Developmental Growth PastSince Nov 24, 2019 Accepting new patients
TMC West Georgia Behavioral Health Inc Psychiatry Past Accepting new patients
Mercy Hospital Joplin Past Accepting new patients

Locations

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

9241 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 985-2700

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

6300 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-9202

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

611 Hospital Rd
Commerce, GA 30529
Phone (706) 336-8151

154 Valley Hill Rd SW
Ste D
Riverdale, GA 30274
Phone (706) 449-2884

223 Medical Center Dr
Riverdale, GA 30274
Phone (770) 692-3554

1345 Redmond Cir NW
Rome, GA 30165
Phone (706) 234-8281

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1150 Cornell Ave
Savannah, GA 31406
Phone (912) 354-3911

1915 Eisenhower Dr
Savannah, GA 31406
Phone (912) 356-2011

633 Stephenson Ave
Savannah, GA 31405
Phone (912) 351-3590

306 N Davis Dr
Ste C
Warner Robins, GA 31093
Phone (478) 225-9720

30575 Bainbridge Rd
Ste 200
Solon, OH 44139

Interoperability endpoints

  • Direct secure messaging: charmaine.wilson.1@32287.direct.athenahealth.com
  • Direct secure messaging: charmaine.wilson@xdr.hhchealthdirect.org

Organizations & group practices 21

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

View all 21

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1083870265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 FULTON INDUSTRIAL BLVD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303361761",
            "telephone_number": "706-449-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 QUARTZ DR STE 103",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803255",
            "telephone_number": "770-812-3530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15400 W McNichols Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482353724",
            "country_code": "US",
            "telephone_number": "313-416-6262",
            "fax_number": "313-221-8217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1345 Redmond Cir NW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301651307",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 68th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495486927",
            "country_code": "US",
            "telephone_number": "616-455-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Professional Pl Ste 303",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173872",
            "country_code": "US",
            "telephone_number": "770-812-5783",
            "fax_number": "770-812-5784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHARMAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301101215",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME144680",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "068021",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2026012136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pinerestCMHS@directaddress.pinerest.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 68th St SE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495486927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

Verify at the official NPI Registry.