Andrew A Wilson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

79796 Issued in GA

Practice address

105 Trinity PL
Athens, GA 30607-2112

Phone

(706) 549-9993

Fax

(706) 549-4047

NPI assigned

May 29, 2012

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Mississippi School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keller, Crymes, and Demarco LLCGroup PAC ID 3971591132, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Merit-based Incentive Payment System (MIPS)

Final score

93.59 of 100Reported as group

Quality

100

Improvement activities

40

Cost

78.65

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Keller, Crymes, & Demarco LLC

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1467406983
  Medicare reassignment Care Compare group NPD
• Keller Crymes & Demarco LLC

  • Eyewear Supplier
  • Athens, GA
  • NPI 1790907277
  NPD

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

• Piedmont Athens Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1437186111
  Care Compare affiliation

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1306106026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072112",
            "telephone_number": "706-549-9993",
            "fax_number": "706-549-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072112",
            "telephone_number": "706-549-9993",
            "fax_number": "706-549-4047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 S Pendleton St",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296403048",
            "country_code": "US",
            "telephone_number": "864-250-6484",
            "fax_number": "864-250-6475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANDREW",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "79796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Willingham, RN
• Crystal Lynn Willis, PTA
• Gina Willis
• Patrick D Willis, MD
• Alvin T Wilson III, D.O.
• Barbara Wilson, MS
• Benjamin Ross Wilson, M.D.
• Cynthea Marie Wilson, APN
• Jessica Santrice Wilson, DO
• Kwasi Wilson, M.D.

• Ophthalmology Physician in Athens, GA
• Providers in Athens, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.

Verify at the official NPI Registry.