NPI age
8 years
Enumerated 2018-01-31
● Active
Type 1 · Individual
Lisa Wilson
Wilson is 1 of 1 radiology providers in Lilburn and 1 of 19 in Georgia.
Primary specialty
Radiology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 19 active radiology providers in Georgia.
NPI age
8 years
↑ 3 yr above median (5 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-01Enumerated in NPPES
2018
2026
Where they practice
Practice location
950 Indian Trail Lilburn Rd Nw Ste 5d
Lilburn, GA 300476870
Mailing address
950 Indian Trail Lilburn Rd Nw Ste 5d
Lilburn, GA 300476870
Specialties
-
Radiology PrimaryA Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 58124 | REGISTRY |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 19 Radiology providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.