MARY WILSON
NPI 1003471632
Counselor - Professional in Summerville, GA

Q: What is Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1003471632. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Q: What is Mary Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2019

11578 HIGHWAY 27, SUMMERVILLE, GA 30747(706) 857-5441(706) 857-7607 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mary Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY WILSON (NPI 1003471632) is an individual professional provider in Summerville, Georgia, licensed in Georgia (003040) and active in the NPI registry since May 2019. She maintains a secondary practice location in La Fayette.

NPPES Registry Identity

NPI1003471632

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARY WILSON

Location Address11578 HIGHWAY 27Summerville, GA 30747-5873

Mailing AddressPo Box 308Cartersville, GA 30120-0308 · (770) 880-2185

Phone(706) 857-5441

Fax(706) 857-7607

Sole ProprietorNo

Enumeration DateMay 8, 2019

✔ NPI 1003471632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · 003040

11578 HIGHWAY 27, Summerville, GA 30747

Open in Google Maps ↗

Secondary Practice Location 1

Location 1501 Mize StLA Fayette, GA 30728-3346 · Phone (706) 638-5591 · Fax (706) 639-2055

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH E. FAULKNER RN

Registered Nurse

11578 HIGHWAY 27
SUMMERVILLE, GA 30747

Chattooga County (706) 857-5441

JENNIFER NICOLE HUDGINS LMSW

Social Worker

11578 HIGHWAY 27
SUMMERVILLE, GA 30747

Chattooga County (706) 857-5441

DAWN DAVIS LPC

Counselor (Professional)

11578 HIGHWAY 27
SUMMERVILLE, GA 30747

Chattooga County (706) 574-3005

STACEY HIPPS PAGE NCC, LPC

Counselor (Professional)

11578 HIGHWAY 27
SUMMERVILLE, GA 30747

Chattooga County (706) 857-5441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1003471632. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Where is Mary Wilson located?

Mary Wilson practices at 11578 Highway 27, Summerville, GA 30747. The listed phone number is (706) 857-5441.

What is Mary Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.