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● Active Type 1 · Individual

Mary Wilson

Professional (Counselor)·Summerville, GA· NPI 1003471632 · Enumerated 2019 · 7 years on NPI
Wilson is 1 of 5 professional (counselor) providers in Summerville and 1 of 7,805 in Georgia.
NPI age
7 years
Enumerated 2019-05-08
Primary specialty
Professional (Counselor)
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-05-08
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7805 active professional (counselor) providers in Georgia.

NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2019 → 2019

2019-05Enumerated in NPPES
2019 2019

Where they practice

Practice location
11578 Highway 27
Summerville, GA 307475873
📞 7068575441fax 7068577607
Mailing address
Po Box 308
Cartersville, GA 301200308
📞 7708802185

Additional practice locations

1 secondary location on file with NPPES.

Location 2
501 Mize St
La Fayette, GA 307283346
📞 7066385591fax 7066392055

Specialties

  • Counselor Primary
    CMS NPPES uses NUCC taxonomy code 101YP2500X for provider records classified as Professional within Counselor. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
    GA license #003040 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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