GEORGIA JESSICA WILSON MD
NPI 1013761204
Student in an Organized Health Care Education/Training Program in Chattanooga, TN
About Georgia Jessica Wilson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGIA JESSICA WILSON MD (NPI 1013761204) is an individual student in an organized health care education/training program in Chattanooga, Tennessee and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Georgia Jessica Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Georgia Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chattanooga, TN 37403
- Reassigned Medicare billing, Tennessee enrollment
- 183 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHATTANOOGA, TN 37403
CHATTANOOGA, TN 37403
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 Georgia Wilson's NPI number?
The NPI number for Georgia Wilson is 1013761204. It was assigned to this individual provider in the NPPES registry on April 15, 2024.
Where is Georgia Wilson located?
Georgia Wilson practices at 975 E 3rd St, Chattanooga, TN 37403. The listed phone number is (423) 778-7628.
What is Georgia Wilson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Georgia Wilson enrolled in Medicare?
Yes. Georgia Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Georgia Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Georgia Wilson reassigns Medicare benefits to Tennessee River Physicians, PLLC (Chattanooga, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Georgia Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Georgia Wilson was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Georgia Jessica Wilson, MD · NPI 1013761204
Student in an Organized Health Care Education/Training Program provider in Chattanooga, Tennessee. Individual provider, active in the CMS NPPES registry since April 15, 2024.
## Identity
- **NPI:** 1013761204 (Entity type: Individual)
- **Enumerated:** April 15, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 975 E 3RD ST, Chattanooga, TN 37403-2173
- **Phone:** (423) 778-7628
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tennessee River Physicians, PLLC (NPI 1396282463, Chattanooga, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2024
## Record status
- **NPPES last updated:** April 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1013761204) · Data from the CMS NPPES public registry.