Individual provider Active NPI

Bria Alexia Wilson

  • Family Nurse Practitioner
  • Lithonia, GA
National Provider Identifier
1144926155
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
268719 Issued in GA
Practice address
2745 Dekalb Medical Pkwy Ste 200
Lithonia, GA 30058-4933
Phone
(678) 368-6913
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 268719 GA Primary

Addresses

Primary practice location

2745 Dekalb Medical Pkwy Ste 200
Lithonia, GA 30058-4933

Mailing address

2718 W Roscoe St
Chicago, IL 60618-5910

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230501000036 GA Practitioner - Nurse Practitioner 2961867726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qcpi-Villagemd PCGroup PAC ID 8123389277, 76 clinicians

Practice addresses (Care Compare)

465 Winn Way
Suite 100
Decatur, GA 30030-1721
Phone (770) 414-5611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
268719GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jul 5, 2025 Accepting new patients
Vpa PC CurrentSince Jul 5, 2025 Accepting new patients

Locations

1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFCAA
  • Direct secure messaging: bria.wilson.1@21533.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1144926155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 W ROSCOE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 DEKALB MEDICAL PKWY STE 200",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584933",
            "telephone_number": "678-368-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRIA",
        "middle_name": "ALEXIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "268719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.