Hunter Callahan Wilson, M.D.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

88313 Issued in GA

Practice address

2135 Eastview Pkwy
Conyers, GA 30013-5768

Phone

(404) 256-2593

NPI assigned

Apr 16, 2014

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)

Education

Medical College of Georgia School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Children'S Healthcare of Atlanta Cardiology IncGroup PAC ID 6901888395, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childrens Healthcare of Atlanta Cardiology Inc

  • Pediatric Cardiology Physician
  • Atlanta, GA
  • NPI 1235148727
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1851711964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 BRANDYWINE RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415540",
            "telephone_number": "404-694-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 EASTVIEW PKWY",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135768",
            "telephone_number": "404-256-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HUNTER",
        "middle_name": "CALLAHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "GA",
            "license": "88313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Tricia Willis, CRNA
• Quatina Willis, LPN
• Sabriyya Ariel Willis
• Catrina Wilson
• Erica R Wilson, MEDCCCSLP
• Jamie E Wilson
• Tiny Benita Wilson, FNP
• Dannia Marie Wint, NURSE PRACTITIONER
• Wise Choice Residential
• Joseph William Witherspoon Jr., LMSW

• Pediatric Cardiology Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Pediatric Cardiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.