P Praxis·MD
● Active Type 1 · Individual

MS. Jaci F Wilson, APRN

Nurse Practitioner·Rome, GA· NPI 1538414495 · Enumerated 2012 · 13 years on NPI
Wilson is 1 of 13 nurse practitioner providers in Rome and 1 of 950 in Georgia.
NPI age
13 years
Enumerated 2012-07-17
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
13 years
↑ 7 yr above median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES
2012 2026

Where they practice

Practice location
501 Redmond Rd Nw
Rome, GA 301651415
📞 7068023155fax 7063688453
Mailing address
501 Redmond Rd Nw
Rome, GA 301651415
📞 7068023155fax 7063688453

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN140128 taxonomy 363LA2100X

Identifiers

TypeValueNotes
01 (GA) RN140128 RN LICENSE

Practice context

Part of a multi-provider practice. 181 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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