Individual provider Active NPI

Jessica Wilson

  • Family Nurse Practitioner
  • Canton, GA
National Provider Identifier
1760335848
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP712085 Issued in GA
Practice address
603 Ashford Estates Ave
Canton, GA 30115-3023
Phone
(352) 484-5844
NPI assigned
Feb 18, 2026
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP712085 GA Primary
Registered Nurse 163W00000X RN712085 GA

Addresses

Primary practice location

603 Ashford Estates Ave
Canton, GA 30115-3023

Mailing address

603 Ashford Estates Ave
Canton, GA 30115-3023
Phone (352) 484-5844

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313004164 GA Practitioner - Nurse Practitioner 5092298356 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Curana Health Medical Group LLCGroup PAC ID 9133304603, 132 clinicians

Practice addresses (Care Compare)

2122 Cumming Rd
Augusta, GA 30904-4334
Phone (737) 226-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN712085GAMDRegistered Nurse
APRN-NP712085GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Georgia LLC Family CurrentSince Mar 10, 2026 Accepting new patients
Curana Health Medical Group LLC CurrentSince Mar 10, 2026 Accepting new patients
CH Specialty Services Ga LLC CurrentSince Mar 10, 2026 Accepting new patients

Locations

3355 Lenox Rd NE
Ste 750
Atlanta, GA 30326
Phone (470) 682-3536

2122 Cumming Rd
Augusta, GA 30904
Phone (706) 737-8258

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1760335848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 ASHFORD ESTATES AVE",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301153023",
            "telephone_number": "352-484-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 ASHFORD ESTATES AVE",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301153023",
            "telephone_number": "352-484-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP712085",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN712085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.