Terri M Wilson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

034494 Issued in GA

Practice address

101 Houston St
Barnesville, GA 30204-1660

Phone

(770) 358-1961

Fax

(770) 358-9233

NPI assigned

Oct 6, 2006

Last updated

May 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Internal Medicine

Education

Mercer University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

DRS. Woodall, Wilson and Manley, LLPGroup PAC ID 0446248629, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Griffin Home health agency, Griffin, GA, CCN 117045
• Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002
• Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terri.wilson@direct.wwm.nextgenshare.com

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.

• DRS. Woodall, Wilson & Manley, LLP

  • Family Medicine Physician
  • Barnesville, GA
  • NPI 1881862191
  Medicare reassignment Care Compare group NPD

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

• Amedisys Northwest, L.L.C.

  dba Amedisys Home Health of Griffin

  • Home Health Agency
  • Griffin, GA
  • NPI 1336197003
  Care Compare affiliation
• Upson County Hospital Inc

  dba Upson Regional Medical Center

  • General Acute Care Hospital
  • Thomaston, GA
  • NPI 1659376630
  Care Compare affiliation
• Wellstar Spalding Regional Hospital, Inc

  dba WellStar Spalding Regional Hospital

  • General Acute Care Hospital
  • Griffin, GA
  • NPI 1972535318
  Care Compare affiliation

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1467549170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOUSTON ST",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041660",
            "telephone_number": "770-358-1961",
            "fax_number": "770-358-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOUSTON ST",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041660",
            "telephone_number": "770-358-1961",
            "fax_number": "770-358-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TERRI",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "034494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C16001",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000506514A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristie Keyon Watts, FNP
• Kamryn Carden Westbury
• Claire M Wheeler, PH.D.
• Amber Williams
• Summer Spivey Williams, FNP-C
• Nicolette Wimberly, RBT
• Lee T Woodall, M.D.
• John Tyler Young, PHARMD
• Zoe Center for Pediatric & Adolescent Health, LLC
• Zoe Center for Pediatric & Adolescent Health, LLC

• Family Medicine Physician in Barnesville, GA
• Providers in Barnesville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.