P Praxis·MD
● Active Type 1 · Individual

MR. Charles Omar Wilson JR., M.D.

Pathology·Jasper, GA· NPI 1497066518 · Enumerated 2010 · 15 years on NPI
Wilson is 1 of 2 pathology providers in Jasper and 1 of 483 in Georgia.
NPI age
15 years
Enumerated 2010-06-23
Primary specialty
Pathology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-06-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 483 active pathology providers in Georgia.

NPI age
15 years
↓ 4 yr below median (19 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-06Enumerated in NPPES
2010 2026

Where they practice

Practice location
175 Samaritan Way
Jasper, GA 30143
📞 7062534673fax 7062534675
Mailing address
747 Redfield Way
Jasper, GA 30143
📞 7066920812fax 7066920812

Specialties

  • Pathology Primary
    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
    GA license #050283 taxonomy 207ZP0102X

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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