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CARMEN J WILSON MD PC
NPI 1053513911
Ophthalmology in Decatur, GA

Active since June 04, 2007
1760 CANDLER RD, SUITE D, DECATUR, GA 30032(678) 914-4733(404) 286-2020 Get Directions Write a Review

NPPES record last updated: February 26, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carmen J Wilson Md Pc NPPES

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

CARMEN J WILSON MD PC (NPI 1053513911) is a healthcare organization registered as an ophthalmology in Decatur, Georgia and active in the NPI registry since June 2007. The organization lists Carmen J Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1053513911
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCARMEN J WILSON MD PC
Location Address1760 CANDLER RD, SUITE DDecatur, GA 30032-3254
Mailing Address67 Harbour Lake DriveFayetteville, GA 30215 · (678) 914-4733 · Fax (770) 474-4620
Phone(678) 914-4733
Fax(404) 286-2020
Organization SubpartNo
Authorized OfficialCarmen J WilsonOwner · (866) 779-3937
Enumeration DateJune 4, 2007
Last NPPES UpdateFebruary 26, 2010
✔ NPI 1053513911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in GA · 044609
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1760 CANDLER RD, Decatur, GA 30032
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Other Identifiers 6

Medicaid000791249CGA
Other290982GA · Well Care
Medicare UPING55002
Other188DGMXGA · Medicare Ptan
Other10064121GA · Amerigroup
Medicare ID-Type Unspecified18BDGMXGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MEDCURA HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1760 CANDLER RD
DECATUR, GA 30032
Dekalb County (404) 286-2215
VALERIE LYNETTE MAINER FNP
Nurse Practitioner (Family)
1760 CANDLER RD
DECATUR, GA 30032
Dekalb County (404) 286-2215

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 Carmen J Wilson MD PC's NPI number?

The NPI number for Carmen J Wilson MD PC is 1053513911. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Carmen J Wilson MD PC located?

Carmen J Wilson MD PC is located at 1760 Candler Rd Suite D, Decatur, GA 30032. The listed phone number is (678) 914-4733.

What is Carmen J Wilson MD PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Carmen J Wilson MD PC was last updated on February 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.