P Praxis·MD
● Active Type 1 · Individual

DR. Ryan Edward Wilson, MD

Internal Medicine·Roswell, GA· NPI 1538394630 · Enumerated 2009 · 17 years on NPI
Wilson is 1 of 2 internal medicine providers in Roswell and 1 of 238 in Georgia.
NPI age
17 years
Enumerated 2009-05-19
Primary specialty
Internal Medicine
Plus 4 subspecialties
Licensed in
GA, FL, KY, SC
4 states
Status
Active
No deactivations on record
Last NPPES update
2023-02-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 238 active internal medicine providers in Georgia.

NPI age
17 years
≈ at median (18 yr)
State licenses
4 states
Top 70% — 29% of peers are multi-state
Subspecialties
1
In the 72% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-05Enumerated in NPPES
2009 2026

Where they practice

Practice location
4500 Hospital Blvd Ste 320
Roswell, GA 300760001
📞 7704104520fax 7704104525
Mailing address
4500 Hospital Blvd Ste 320
Roswell, GA 300760001
📞 7704104520fax 7704104525

Additional practice locations

1 secondary location on file with NPPES.

Location 2
8 Richland Medical Park Dr Ste 300
Columbia, SC 29203
📞 8032566511fax 8033765883

Specialties

  • Internal Medicine Primary
    An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
    GA license #93581KY license #45950SC license #51981 taxonomy 207RI0011X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    FL license #TRN13691FL license #ME112912 taxonomy 207R00000X

Identifiers

TypeValueNotes
05 (FL) 005571300
05 (SC) 519816
05 (GA) 003124179A
01 (FL) 14K5A BCBSFL
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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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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