ANN WILSON
NPI 1063317907
General Practice in Stockbridge, GA
About Ann Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANN WILSON (NPI 1063317907) is an individual general practice provider in Stockbridge, Georgia, licensed in South Carolina (244167) and active in the NPI registry since October 2026.
NPPES Registry Identity
Specialties & Licenses
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 Ann Wilson's NPI number?
The NPI number for Ann Wilson is 1063317907. It was assigned to this individual provider in the NPPES registry on October 12, 2026.
Where is Ann Wilson located?
Ann Wilson practices at 15 Moore Dr, Stockbridge, GA 30281. The listed phone number is (419) 377-1109.
What is Ann Wilson's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
When was this NPI record last updated?
The NPPES record for Ann Wilson was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.
# Ann Wilson · NPI 1063317907
General Practice physician in Stockbridge, Georgia. Individual provider, active in the CMS NPPES registry since October 12, 2026.
## Identity
- **NPI:** 1063317907 (Entity type: Individual)
- **Enumerated:** October 12, 2026
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 244167 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 15 MOORE DR, Stockbridge, GA 30281-2501
- **Phone:** (419) 377-1109
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063317907) · Data from the CMS NPPES public registry.