MRS. CARRIE WILSON (NPI# 1164892618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164892618 |
| Entity Type | Individual |
| Full Name | MRS. CARRIE WILSON |
| Credential | CPNP |
| Practice Address |
1700 Tree Ln Suite 110 Snellville GA 30078-6782 |
| Practice Telephone | 6787751501 |
| Practice Fax Number | 6787753585 |
| Mailing Telephone | 6787751501 |
| Mailing Fax Number | 6787753585 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN251844 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306221833 | Carrie Ann Wilson | Licensed Practical Nurse | 713 County Route 5, Pulaski, NY 13142-2225 | 2015-07-27 |
| 1124419809 | Carrie Wilson | Student in an Organized Health Care Education/Training Program | 2743 N Wilton Ave, Chicago, IL 60614-1423 | 2015-02-16 |
| 1760727846 | Carrie Wilson | Specialist/Technologist | 2424 196th St Nw, Stanwood, WA 98292-5788 | 2012-11-30 |
| 1619280898 | Carrie Woods Wilson | Speech-Language Pathologist | 1501 Golden Gate Dr, Carrollton, TX 75007-5067 | 2010-07-16 |
| 1750531612 | Carrie Ann Wilson | Occupational Therapist | 5077 Creek Rd, Medina, NY 14103-9525 | 2008-09-26 |
| 1922179118 | Carrie L Wilson | Counselor | 1121 Nikki View Dr, Brandon, FL 33511-4879 | 2006-11-11 |
| 1679655104 | Carrie H Wilson | Registered Nurse | 2625 Buckingham Rd, Dodgeville, WI 53533-9126 | 2006-10-20 |
| 1639287766 | Carrie C. Wilson | Emergency Medicine | 6801 S Bennett Ave, Chicago, IL 60649-1501 | 2006-08-28 |
| 1952916512 | Carrie Wilson | Licensed Vocational Nurse | 7710 W Interstate 10, San Antonio, TX 78230-4711 | 2020-09-10 |
| 1114557899 | Carrie Maygen Wilson | Case Manager/Care Coordinator | 430 Dixie Plz, Natchitoches, LA 71457-5881 | 2020-01-22 |
| Street Address |
1700 TREE LN SUITE 110 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-6782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746590 | William Cato Thompson | Pharmacist | 1700 Tree Ln, Ste. 180, Snellville, GA 30078-6782 | 2005-08-10 |
| 1407216393 | Samantha Lewis | Nurse Practitioner | 1700 Tree Ln, Suite 110, Snellville, GA 30078-6782 | 2016-03-04 |
| 1528433455 | Auria Medical Clinics, LLC | Specialist | 1700 Tree Ln, Suite 350, Snellville, GA 30078-6782 | 2015-12-03 |
| 1356720064 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1700 Tree Ln, Ste 180, Snellville, GA 30078-6782 | 2015-05-27 |
| 1750772232 | Amber Yandle | Nurse Practitioner | 1700 Tree Ln, Suite 110, Snellville, GA 30078-6782 | 2015-02-05 |
| 1114369675 | Rachel Leigh Smith | Audiologist | 1700 Tree Ln, Suite 320, Snellville, GA 30078-6782 | 2013-07-25 |
| 1821348350 | Syed S Badaruddin | Physician Assistant | 1700 Tree Ln, Suite 160, Snellville, GA 30078-6782 | 2012-09-12 |
| 1740565092 | Saturn Pediatrics, P.C. | Pediatrics | 1700 Tree Ln, Suite 160, Snellville, GA 30078-6765 | 2011-10-19 |
| 1306136551 | Ujuka A Iloabuchi | Obstetrics & Gynecology | 1700 Tree Ln, Suite 290, Snellville, GA 30078-6782 | 2011-04-08 |
| 1184943946 | Bimbola Arotiba | Obstetrics & Gynecology | 1700 Tree Ln, Snellville, GA 30078-6782 | 2010-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154888147 | Shaleacia Shipman | Nurse Practitioner | 1700 Tree Ln Ste 110, Snellville, GA 30078-6749 | 2019-02-26 |
| 1407216393 | Samantha Lewis | Nurse Practitioner | 1700 Tree Ln, Suite 110, Snellville, GA 30078-6782 | 2016-03-04 |
| 1841655743 | Nadia Najam | Nurse Practitioner | 2800 Main St W, Snellville, GA 30078-3157 | 2015-12-18 |
| 1750772232 | Amber Yandle | Nurse Practitioner | 1700 Tree Ln, Suite 110, Snellville, GA 30078-6782 | 2015-02-05 |
| 1952636599 | Juanita Joiner | Nurse Practitioner | 1700 Tree Ln, Suite 110, Snellville, GA 30078-6782 | 2009-10-15 |
| 1508870635 | Elizabeth Hammond | Nurse Practitioner | 1700 Tree Ln, Suite 110, Snellville, GA 30078-6782 | 2006-07-27 |
| 1265446306 | Laurie P. Chandler | Nurse Practitioner | 1700 Tree Ln, Suite 110, Snellville, GA 30078-6782 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
| 1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1912530866 | Rebecca L Brigola | Nurse Practitioner | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on MRS. CARRIE WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.