Organization Active NPI

Wilson and Associates Psychiatry Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Commerce, GA
National Provider Identifier
1679957039
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
261QM0801X Issued in GA
Legal business name
WILSON AND ASSOCIATES PSYCHIATRY SERVICES
Practice address
611 Hospital Rd
Commerce, GA 30529-1143
Phone
(706) 336-8223
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Dr. Charmaine WilsonNPI 1083870265
Title
Owner
Phone
(706) 449-2884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 261QM0801X GA Primary

Addresses

Primary practice location

611 Hospital Rd
Commerce, GA 30529-1143

Mailing address

PO Box 14166
Savannah, GA 31416-1166
Phone (706) 449-2884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160107001662 GA Part B Supplier - Clinic/Group Practice 3173825148 Receives reassigned benefits from 1 practitioner
Practice locations: Commerce, GA; Winder, GA

National Provider Directory

National Provider Directory

Locations

1732 N Broad St
Commerce, GA 30529
Phone (706) 449-2884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1679957039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14166",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161166",
            "telephone_number": "706-449-2884",
            "fax_number": "678-791-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HOSPITAL RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291143",
            "telephone_number": "706-336-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON AND ASSOCIATES PSYCHIATRY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-449-2884",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "261QM0801X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.