NPI age
14 years
Enumerated 2012-03-16
● Active
Type 1 · Individual
Elizabeth L. Wilson, PNP
Wilson is 1 of 3 nurse practitioner providers in Tifton and 1 of 929 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 929 active nurse practitioner providers in Georgia.
NPI age
14 years
↑ 4 yr above median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-03Enumerated in NPPES
2012
2026
Where they practice
Practice location
215 12th St W
Tifton, GA 317943923
Mailing address
215 12th St W
Tifton, GA 317943923
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN191733 | GA MEDICAL LICENSE |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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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.