NPI age
18 years
Enumerated 2007-06-04
● Active Type 2 · Organization
Carmen J Wilson MD Pc
Carmen J Wilson MD Pc is 1 of 807 ophthalmology organizations in Georgia.
Primary specialty
Ophthalmology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
Owner
Last NPPES update
2010-02-26
Source: monthly bulk 2026-05
How this organization compares
Across 807 active ophthalmology providers in Georgia.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1760 Candler Rd, Suite D
Decatur, GA 300323254
Mailing address
67 Harbour Lake Drive
Fayetteville, GA 30215
Authorized official
Carmen J Wilson, MD
Owner
📞 8667793937
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Valerie Mainer, FNP Nurse Practitioner NPI 1245580471
Specialties
-
Ophthalmology PrimaryAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10064121 | AMERIGROUP |
| 05 (GA) | 000791249C | |
| 01 (GA) | 188DGMX | MEDICARE PTAN |
| 01 (GA) | 290982 | WELL CARE |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.