Active NPI
Donna D. Wilson, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1407211964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN246052
- Practice address
- 35 Collier Rd NW Ste 425
Atlanta, GA 30309-1613 - Phone
- (404) 902-6184
- NPI assigned
- Dec 28, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN246052 | GA | Primary |
Addresses
Primary practice location
35 Collier Rd NW Ste 425
Atlanta, GA 30309-1613
Mailing address
35 Collier Rd NW Ste 425
Atlanta, GA 30309-1613
Phone (770) 331-6713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN246052 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth County Health Department | Past | Accepting new patients | |
| Forsyth County Board of Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Cumming, GA
- NPI 1265597371
-
- Nursing Care Agency
- Cumming, GA
- NPI 1851632046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1407211964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 COLLIER RD NW STE 425",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091613",
"telephone_number": "770-331-6713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 COLLIER RD NW STE 425",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091613",
"telephone_number": "404-902-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DONNA",
"middle_name": "D.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-28",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN246052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.