DR. SANDRA WILSON (NPI# 1609279967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609279967 |
| Entity Type | Individual |
| Full Name | DR. SANDRA WILSON |
| Practice Address |
121 Jackson St Newnan GA 30263-1572 |
| Mailing Address |
101 River Birch Dr Carrollton GA 30116-1860 |
| Practice Telephone | 7702515873 |
| Mailing Telephone | 4709553190 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
PSY003843 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842897 | Sandra D Wilson | Case Manager/Care Coordinator | 5461 Portman Dr, Noblesville, IN 46062-8225 | 2020-08-17 |
| 1265848469 | Sandra Wilson | Physical Therapist | 2899 5 Frks Trickum Rd, Lawrenceville, GA 30044-5803 | 2014-07-08 |
| 1356468441 | Sandra Baird Wilson | Nurse Practitioner | 2005 Prince Avenue, Athens, GA 30606 | 2007-03-23 |
| 1235262056 | Sandra Sloan Wilson | Physical Therapist | 13550 Jog Rd Ste 100, Delray Beach, FL 33446-3808 | 2007-03-13 |
| 1023168259 | Sandra A Wilson | Marriage & Family Therapist | 3617 Ricardo, Redding, CA 96002 | 2007-01-11 |
| 1134295876 | Sandra B Wilson | Nurse Practitioner | 189 Wheatly Road, Ahrc Nassau County, Brookville, NY 11545 | 2006-11-27 |
| 1174566814 | Sandra H. Wilson | Physical Therapist | 88 State Route 37, Unit 2, New Fairfield, CT 06812-5036 | 2006-06-13 |
| 1316906415 | Sandra J Wilson | Counselor | 304 W Collin Raye Dr, 103-a, De Queen, AR 71832-2013 | 2006-03-20 |
| 1619584752 | Sandra Lynn Wilson | Technician | 411 W Main St, Romney, WV 26757-1530 | 2020-09-23 |
| 1912569609 | Sandra Lynn Wilson | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2019-07-02 |
| Street Address |
121 JACKSON ST |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114985785 | Thomas Smith Freeman | Psychologist | 121 Jackson St, Newnan, GA 30263-1572 | 2006-05-03 |
| 1740764851 | Sarah B Lyle | Psychologist | 121 Jackson St, Newnan, GA 30263-1572 | 2018-09-25 |
| 1952732703 | Joyce Divinyi | Counselor | 121 Jackson St, Newnan, GA 30263-1572 | 2013-12-04 |
| 1144650425 | Connie Gibson | Counselor | 121 Jackson St, Newnan, GA 30263-1572 | 2013-11-22 |
| 1730526021 | Kim B Alford | Speech-Language Pathologist | 121 Jackson St, Newnan, GA 30263-1572 | 2013-05-28 |
| 1215266333 | D'netra Nichole Smith | Counselor | 121 Jackson St, Newnan, GA 30263-1572 | 2009-12-19 |
| 1790922565 | Erin Davis | Marriage & Family Therapist | 121 Jackson St, Newnan, GA 30263-1572 | 2009-01-14 |
| 1043253982 | Joseph Adams | Counselor | 121 Jackson St, Newnan, GA 30263-1572 | 2006-06-14 |
| 1457399966 | Janet Gaffney | Psychologist | 121 Jackson St, Newnan, GA 30263-1572 | 2006-06-04 |
| 1871541169 | Pamela Sue Cook | Counselor | 121 Jackson St, Newnan, GA 30263-1572 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385003 | William Battle Evans | Psychologist | 1608 Woodhill Trl, Augusta, GA 30909-2664 | 2020-10-27 |
| 1407460256 | Maria Torres-villa | Psychologist | 1859 American Way, Lawrenceville, GA 30043-6614 | 2020-08-31 |
| 1407480122 | Robin Clesen | Psychologist | 2415 Peachtree Rd, Cumming, GA 30041-8533 | 2020-03-03 |
| 1881224525 | Kristy Evans | Psychologist | 7705 Sleepy Lagoon Way, Flowery Branch, GA 30542-7559 | 2020-01-22 |
| 1518507508 | Klarysa Eva Riepe | Psychologist | 8610 Woodledge Ln, Roswell, GA 30076-3573 | 2020-01-08 |
| 1821655143 | Jennifer Paige Edwards | Psychologist | 4949 Oakdale Rd Se Apt 311, Smyrna, GA 30080-7163 | 2019-05-22 |
| 1902371982 | Wanda Young Sanders | Psychologist | 1230 Lamont Cir, Dacula, GA 30019-4528 | 2018-10-05 |
| 1104356443 | Laurie Wylie | Psychologist | 107 Twin Oaks Ct, Fortson, GA 31808-4479 | 2017-06-19 |
| 1265962013 | Tracy Cooper | Psychologist | 652 Ora Ave Se, Atlanta, GA 30316-2146 | 2017-06-14 |
| 1295267375 | Ifraj Quiyim | Psychologist | 1015 Porter St, Savannah, GA 31415-5284 | 2017-03-29 |
| Find all providers with the same taxonomy | ||||
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| 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.