Joy Stanetrice Wilson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN193733 Issued in GA

Practice address

305 Cooper Rd Ste 100200
Loganville, GA 30052-5274

Phone

(770) 568-2777

Fax

(678) 819-0877

NPI assigned

Mar 3, 2008

Last updated

Mar 22, 2020By 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

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joy.wilson.1@17881.direct.athenahealth.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.

• Angelic Clinical Services, LLC

  • Primary Care Clinic/Center
  • Grayson, GA
  • NPI 1497299440
  Medicare reassignment Authorized official
• R.T.Alexander, PC

  dba The Whole Life Health & Chiropractic Center

  • Community Health Clinic/Center
  • Lawrenceville, GA
  • NPI 1487887055
  NPD
• Whole Life Health Center LLC

  dba Pain Center of Gwinnett

  • Family Medicine Physician
  • Lawrenceville, GA
  • NPI 1174811996
  NPD
• Neuropathy Wellness Specialists, LLC

  • General Practice Physician
  • Dacula, GA
  • NPI 1215279294
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584835200000",
    "number": "1477723732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 COOPER RD STE 100200",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525274",
            "telephone_number": "770-568-2777",
            "fax_number": "678-819-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 COOPER RD STE 100200",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525274",
            "telephone_number": "770-568-2777",
            "fax_number": "678-819-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOY",
        "middle_name": "STANETRICE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN193733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Williams, MS, LPC, LCPC
• Lorraine Williams, FACHE, DHSC., CHES
• Nakisha Williams, PMHNP
• Stephen B Williams Jr., MA, BCCC
• Janice Wilson
• Kenneth L Wilson
• Thomas Christopher Wilson, PT
• Jeongi Won
• Marlaina Grant Woodward, BSED
• Blaine Woody, PT

• Family Nurse Practitioner in Loganville, GA
• Providers in Loganville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; 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.