Individual provider Active NPI

Charles Inman Wilmer, MD

  • Interventional Cardiology Physician
  • Atlanta, GA
National Provider Identifier
1942205224
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
029394 Issued in GA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000353229TUVWXYMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000990 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1254238405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (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
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
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

LicenseStateTypeSpecialty
029394GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Specialty Care LLC Cardiovascular Disease CurrentSince Sep 5, 2023 Accepting new patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Jun 15, 2009 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.