Jerrod Jonathan Wilson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP326207 Issued in GA

Practice address

101 Quartz Dr Ste 101
Villa Rica, GA 30180-3256

Phone

(770) 836-9445

Fax

(770) 836-8808

NPI assigned

Oct 2, 2020

Last updated

Dec 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, GA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Apogee Medical Group GeorgiaGroup PAC ID 4587676945, 122 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

• Apogee Medical Group Georgia Inc

  • Internal Medicine Physician
  • Carrollton, GA
  • NPI 1629025143
  Medicare reassignment Care Compare group NPD
• TMC Immediate Care, Inc

  dba Tanner Urgent Care

  • Urgent Care Clinic/Center
  • Villa Rica, GA
  • NPI 1386708097
  Medicare reassignment NPD
• Digestive Care of Evansville PC

  • Gastroenterology Physician
  • Newburgh, IN
  • NPI 1376751891

  Family

  Medicare reassignment NPD
• Newburgh Urgent Care LLC

  dba Mercy Urgent Care

  • Nurse Practitioner
  • Newburgh, IN
  • NPI 1093132821
  Medicare reassignment NPD
• Digestive Care of Evansville, PC

  dba QuickPath

  • Clinical Medical Laboratory
  • Evansville, IN
  • NPI 1619220118
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tanner Medical Center, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Carrollton, GA
  • NPI 1801883780
  Care Compare affiliation

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1871190983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 QUARTZ DR STE 101",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803256",
            "telephone_number": "770-836-9445",
            "fax_number": "770-836-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 QUARTZ DR STE 101",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803256",
            "telephone_number": "770-836-9445",
            "fax_number": "770-836-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1480 S Highway 27",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301178901",
            "country_code": "US",
            "telephone_number": "770-836-9445",
            "fax_number": "770-836-8808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JERROD",
        "middle_name": "JONATHAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP326207",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28262360A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francois Williams, MD
• India C. Williams, M.D.
• Vincent Williams, RN
• Julie Williard, RN FNP C
• Charmaine Wilson, MD
• Spencer Andrew Wingate, PT
• Karen L. Wolfe, M.A.
• Women's Care of West Georgia, LLC
• John Charles Wood, APRN, PMHNP-BC
• Lisa Wood

• Family Nurse Practitioner in Villa Rica, GA
• Providers in Villa Rica, 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 Dec 15, 2025; 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.