P Praxis·MD
● Active Type 1 · Individual

DR. Wiley Wilson, DO

Pediatrics·Cordele, GA· NPI 1083686430 · Enumerated 2006 · 20 years on NPI
Wilson is 1 of 9 pediatrics providers in Cordele and 1 of 2726 in Georgia.
NPI age
20 years
Enumerated 2006-02-01
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-09-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
176 Lakeview Cir
Cordele, GA 310155318
📞 2293220570fax 2292717504
Mailing address
176 Lakeview Cir
Cordele, GA 310155318
📞 2293220570fax 2292717504

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #036633 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (GA) 795339666A

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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