JASON EDWIN WILCOX PMHNP-BC
NPI 1053095547
Nurse Practitioner - Psychiatric/Mental Health in Hazlehurst, GA

Q: What is Jason Wilcox's NPI number?

The NPI number for Jason Wilcox is 1053095547. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Q: What is Jason Wilcox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jason Wilcox was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 June 14, 2023PECOS EnrolledAccepts Medicare Assignment

163 S TALLAHASSEE ST, HAZLEHURST, GA 31539(912) 699-6447 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 20, 2026, Oct 9, 2025, Jun 16, 2023 (3 updates tracked since 2023).

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About Jason Edwin Wilcox Pmhnp-bc NPPES

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

JASON EDWIN WILCOX PMHNP-BC (NPI 1053095547) is an individual psychiatric/mental health provider in Hazlehurst, Georgia, licensed in Georgia (RN282877) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Evans, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053095547

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJASON EDWIN WILCOXCredential: PMHNP-BC

Location Address163 S TALLAHASSEE STHazlehurst, GA 31539-6465

Mailing Address163 S Tallahassee StHazlehurst, GA 31539-6465 · (912) 375-3084 · Fax (912) 375-5732

Phone(912) 699-6447

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 14, 2023

Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1053095547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN282877

163 S TALLAHASSEE ST, Hazlehurst, GA 31539

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Secondary Practice Location 1

Location 11422 Knob Hill CirEvans, GA 30809-6678 · Phone (912) 375-8483 · Fax (912) 372-3193

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Edwin Wilcox Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224485891

PECOS Enrollment IDI20231103002900

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jason Wilcox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Authority Of Jeff Davis County Georgia

Same address

Psychiatric Unit

163 S TALLAHASSEE ST
Hazlehurst, GA 31539

Reassigned Medicare billing, Georgia enrollment
29 clinicians in this Medicare group

NPI 1023593498 (912) 375-7781

Grow Healthcare Group PA

444 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Georgia enrollment
994 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31539 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA

Psychiatric Unit