P Praxis·MD
● Active Type 1 · Individual

Tiara Wilson

Licensed Practical Nurse·Waycross, GA· NPI 1902158306 · Enumerated 2012 · 13 years on NPI
Wilson is 1 of 13 licensed practical nurse providers in Waycross and 1 of 1344 in Georgia.
NPI age
13 years
Enumerated 2012-10-09
Primary specialty
Licensed Practical Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-10-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1344 active licensed practical nurse providers in Georgia.

NPI age
13 years
↑ 4 yr above median (9 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-10Enumerated in NPPES
2012 2026

Where they practice

Practice location
1007 Mary St
Waycross, GA 315033823
📞 9124497111
Mailing address
1007 Mary St
Waycross, GA 315033823
📞 9124497111

Specialties

  • Licensed Practical Nurse Primary
    An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience,...
    GA license #LPN083722 taxonomy 164W00000X

Practice context

Part of a multi-provider practice. 69 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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