P Praxis·MD
● Active Type 1 · Individual

Jerrod Jonathan Wilson, FNP

Nurse Practitioner·Villa Rica, GA· NPI 1871190983 · Enumerated 2020 · 5 years on NPI
Wilson is 1 of 24 nurse practitioner providers in Villa Rica and 1 of 8826 in Georgia.
NPI age
5 years
Enumerated 2020-10-02
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
2 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-10Enumerated in NPPES
2020 2026

Where they practice

Practice location
101 Quartz Dr Ste 101
Villa Rica, GA 301803256
📞 7708369445fax 7708368808
Mailing address
101 Quartz Dr Ste 101
Villa Rica, GA 301803256
📞 7708369445fax 7708368808

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1480 S Highway 27
Carrollton, GA 301178901
📞 7708369445fax 7708368808

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #APRN-NP326207IN license #28262360A taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 5 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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