NPI age
19 years
Enumerated 2007-05-15
● Active
Type 1 · Individual
MRS. Laura Renae Wilson, MSN, APRN-BC
Wilson is 1 of 3 nurse practitioner providers in Stone Mountain and 1 of 383 in Georgia.
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA, CT, TX
3 states
Status
Active
No deactivations on record
Last NPPES update
2019-03-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 383 active nurse practitioner providers in Georgia.
NPI age
19 years
↑ 14 yr above median (5 yr)
State licenses
3 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
5405 Memorial Dr Ste D
Stone Mountain, GA 300833236
Mailing address
5405 Memorial Dr Ste D
Stone Mountain, GA 300833236
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1821185299 | NPI - BVCAA |
| 01 (TX) | 1275620551 | NPI - ROBERTSON COUNTY CHC |
| 05 (TX) | 154467803 | |
| 01 (TX) | 1649265646 | NPI- BRYAN- COLLEGE STATION CHC |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 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.