Active NPI
Charmaine Wilson, MD
- Psychiatry Physician
- Villa Rica, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 068021
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pinerestCMHS@directaddress.pinerest.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CT, FL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301101215 | MI | MD | Psychiatry Physician |
| 2026012136 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Savannah, LLC | Current | Accepting new patients | |
| Department of Behavioral Health & Developmental Disabilities, Ga | Current | Accepting new patients | |
| Natchaug Hospital, Inc. | Current | Accepting new patients | |
| North Atlanta Professional Services LLC | Psychiatry | Current | Accepting new patients |
| Asana Integrated Medical Group PC | Psychiatry | Current | Accepting new patients |
| Uhs of Savannah LLC | Current | Accepting new patients | |
| TBJ Behavioral Center LLC | Psychiatry | Current | Accepting new patients |
| Hni Medical Services of Florida, LLC | Psychiatry | Current | Accepting new patients |
| Wilson and Associates Psychiatry Services | Current | Accepting new patients | |
| Lifesource of North Carolina | Psychiatry | Current | Accepting new patients |
| Guiding Light Healthcare Services | Psychiatry | Current | Accepting new patients |
| A Beautiful Mind Psychiatry | Psychiatry | Current | Accepting new patients |
| Department of Behavioral Health and Developmental Disabilities | Current | Accepting new patients | |
| Department of Behavioral Health & Developmental Disabilities | Current | Accepting new patients | |
| Hni Medical Services of Georgia, LLC | Psychiatry | Current | Accepting new patients |
| Lifesource of North Carolina | Psychiatry | Current | Accepting new patients |
| Pathways Center for Behavioral and Developmental Growth | Past | Accepting new patients | |
| Pathways Center for Behavioral & Developmental Growth | Past | 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
- charmaine.wilson.1@32287.direct.athenahealth.com
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Commerce, GA
- NPI 1679957039
-
- Neurology Physician
- Chesterfield, MO
- NPI 1063965093
-
dba Central State Hospital
- Psychiatric Hospital
- Milledgeville, GA
- NPI 1902030307
-
dba Guiding Light Healthcare Services, LLC
- Psychiatry Physician
- Warner Robins, GA
- NPI 1841707668
-
- Psychiatry Physician
- Norcross, GA
- NPI 1952926370
-
dba LifeSource of Georgia
- General Practice Physician
- Rome, GA
- NPI 1962940817
Psychiatry
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Psychiatry
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
-
dba River Point Hospital
- Psychiatric Hospital
- Jacksonville, FL
- NPI 1568633683
Psychiatry
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.