P Praxis·MD
● Active Type 1 · Individual

DR. Cheney Fenn Wilson, M.D.

Surgery·Canton, GA· NPI 1477972982 · Enumerated 2014 · 12 years on NPI
Wilson is 1 of 2 surgery providers in Canton and 1 of 268 in Georgia.
NPI age
12 years
Enumerated 2014-04-11
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-02-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Practice location
460 Northside Cherokee Blvd Ste 100
Canton, GA 301158017
📞 7702923490fax 7707215615
Mailing address
4301 W Markham St
Little Rock, AR 722057101
📞 5016866627

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #82615 taxonomy 2086S0129X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 268 Surgery providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related