Active NPI
Charles Inman Wilmer, MD
- Interventional Cardiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 029394
- Practice address
- 275 Collier Rd NW
Suite 300
Atlanta, GA 30309-1709 - Phone
- (404) 605-2800
- Fax
- (404) 351-5983
- NPI assigned
- Jun 14, 2005
- Last updated
- Aug 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 029394 | GA | |
| Interventional Cardiology Physician | 207RI0011X | 029394 | GA | Primary |
Addresses
Primary practice location
275 Collier Rd NW
Suite 300
Atlanta, GA 30309-1709
Mailing address
275 Collier Rd NW
Suite 300
Atlanta, GA 30309-1709
Phone (404) 605-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000353229TUVWXY | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Virginia School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000
795 Poplar Rd
Suite 400
Newnan, GA 30265-2590
Phone (770) 254-6089
95 Collier NWRD
Atlanta, GA 30309-1796
Phone (404) 605-5000
95 Collier Rd NW
Suite 6000
Atlanta, GA 30309-1796
Phone (404) 605-2888
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (470) 490-1000
Hospital & facility affiliations
- Piedmont Hospital, Inc
- Piedmont Fayette Hospital
- Piedmont Mountainside Hospital Inc
- Piedmont Newnan Hospital, Inc
- Piedmont Eastside Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029394 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Athens Specialty Care LLC | Cardiovascular Disease | Current | Accepting new patients |
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Piedmont Cardiac Disease Specialists, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Paulding Medical Center, Inc. | Past | Accepting new patients | |
| Piedmont Athens Hospitalist Physicians LLC | Past | Accepting new patients | |
| Piedmont Hospital, Inc | Past | Accepting new patients |
Locations
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
275 Collier Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 350-0009
275 Collier Rd NW
Ste 300D
Atlanta, GA 30309
275 Collier Rd NW
Ste 500
Atlanta, GA 30309
Phone (404) 355-6562
95 Collier Rd NW
Ste 2035
Atlanta, GA 30309
Phone (404) 355-9815
95 Collier Rd NW
Ste 3000
Atlanta, GA 30309
Phone (404) 605-2261
95 Collier Rd NW
Ste 6000
Atlanta, GA 30309
Phone (404) 605-2888
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
600 W Memorial Dr
Dallas, GA 30132
Phone (770) 443-7072
2976 Chapel Hill Rd
Ste 300B
Douglasville, GA 30135
Phone (678) 715-3334
1010 Park Dr
Greensboro, GA 30642
Phone (706) 227-7850
220 J L White Dr
Ste 150
Jasper, GA 30143
Phone (706) 253-2430
660 Cherokee St NE
Ste 250
Marietta, GA 30060
Phone (404) 425-5570
1305 Jennings Mill Rd
Ste 250
Watkinsville, GA 30677
Organizations & group practices 6
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.
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
-
dba Wellstar Paulding Hospital
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1124294640
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Eastside Medical Center
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
dba Piedmont Fayette Hospital
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
dba Piedmont Mountainside Hospital
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1942205224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091709",
"telephone_number": "404-605-2800",
"fax_number": "404-351-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091709",
"telephone_number": "404-605-2800",
"fax_number": "404-351-5983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMER",
"first_name": "CHARLES",
"middle_name": "INMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "029394",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "029394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000353229TUVWXY",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.