Individual provider Active NPI

Sarah Jo Wilson, MD

  • MOHS-Micrographic Surgery Physician
  • Peachtree City, GA
National Provider Identifier
1588041099
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
87686 Issued in GA
Practice address
112 Wilshire Village Dr
Peachtree City, GA 30269-3138
Phone
(770) 676-3376
NPI assigned
May 4, 2015
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 87686 GA Primary

Addresses

Primary practice location

112 Wilshire Village Dr
Peachtree City, GA 30269-3138

Mailing address

112 Wilshire Village Dr
Peachtree City, GA 30269-3138
Phone (770) 676-3376

Other practice location 1

601 Dixie St
Carrollton, GA 30117-3816
Phone (770) 838-9333

Other practice location 2

354 Newnan Crossing Byp Ste 205
Newnan, GA 30265-2434
Phone (770) 520-8561

Other names 1

  • Sarah Jo Wetherington Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604002556 GA Practitioner - Dermatology 0648503466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of W GaGroup PAC ID 1456397660, 10 clinicians

Practice addresses (Care Compare)

354 Newnan Crossing Byp
Suite 205
Newnan, GA 30265-2434
Phone (770) 520-8561

601 Dixie St
Carrollton, GA 30117-3816
Phone (770) 838-9333

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision110
Removal of skin lesions1123
Removal of skin cancer1454
Removal or shaving of skin growth28
Skin biopsy504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of W Ga Mohs-Micrographic Surgery CurrentSince Apr 14, 2021 Accepting new patients
West Georgia Derm Surgery Center Mohs-Micrographic Surgery Past Accepting new patients

Locations

109 Professional Pl
Carrollton, GA 30117
Phone (770) 834-0170

601 Dixie St
Carrollton, GA 30117
Phone (770) 838-9333

354 Newnan Crossing Byp
Ste 205
Newnan, GA 30265
Phone (678) 326-4812

112 Wilshire Village Dr
Peachtree City, GA 30269
Phone 7706363376 ext. 63376

Interoperability endpoints

  • Direct secure messaging: swilson@westgaderm.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1588041099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WILSHIRE VILLAGE DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693138",
            "telephone_number": "770-676-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WILSHIRE VILLAGE DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693138",
            "telephone_number": "770-676-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Dixie St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173816",
            "country_code": "US",
            "telephone_number": "770-838-9333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Newnan Crossing Byp Ste 205",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652434",
            "country_code": "US",
            "telephone_number": "770-520-8561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SARAH",
        "middle_name": "JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "87686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WETHERINGTON",
            "middle_name": "JO",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.