Michael Donavan Wilson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC016540 Issued in GA

Practice address

515 Hellen Valley Dr
Braselton, GA 30517-2161

Phone

(224) 944-9247

NPI assigned

Apr 24, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1982268017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HELLEN VALLEY DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305172161",
            "telephone_number": "224-944-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HELLEN VALLEY DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305172161",
            "telephone_number": "224-944-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHAEL",
        "middle_name": "DONAVAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC016540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan T Whitney, MD
• Diamond Wilder, ACNPC-AG
• Ashley Lauren Williams, MD MPH
• Heather Williams
• Angela K. Wilson, LPC
• Hannah Witherell, RN
• Becky Diane Woodson-Allen, CRNA
• Oluyemi Workman
• Youjin Yoo, MD
• Jordan Young

• Professional Counselor in Braselton, GA
• Providers in Braselton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.