P Praxis·MD
● Active Type 1 · Individual

DR. Nicole Edith Wilson, D.P.M.

Podiatrist·Douglas, GA· NPI 1073806956 · Enumerated 2011 · 15 years on NPI
Wilson is 1 of 2 podiatrist providers in Douglas and 1 of 397 in Georgia.
NPI age
15 years
Enumerated 2011-05-25
Primary specialty
Podiatrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-02-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 397 active podiatrist providers in Georgia.

NPI age
15 years
≈ at median (15 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-05Enumerated in NPPES
2011 2026

Where they practice

Practice location
204 Westside Dr
Douglas, GA 315333528
📞 9123844121fax 9123891817
Mailing address
204 Westside Dr
Douglas, GA 315333528
📞 9123844121fax 9123891817

Specialties

  • Podiatrist Primary
    Definition to come...
    GA license #POD001284 taxonomy 213ES0103X

Practice context

Part of a multi-provider practice. 2 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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