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DR. ERIC WILSON MD
NPI 1063526507
Family Medicine in Lithonia, GA

Active since August 19, 2006PECOS Enrolled
5440 HILLANDALE DR, KAISER PERMANENTE PANOLA MEDICAL CENTER, LITHONIA, GA 30058(770) 322-2777(706) 549-5981 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Eric Wilson Md NPPES

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

DR. ERIC WILSON MD (NPI 1063526507) is an individual family medicine provider in Lithonia, Georgia, licensed in Georgia (030694) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063526507
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ERIC WILSONCredential: MD
Location Address5440 HILLANDALE DR, KAISER PERMANENTE PANOLA MEDICAL CENTERLithonia, GA 30058-4865
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7070 · Fax (706) 549-5981
Phone(770) 322-2777
Fax(706) 549-5981
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJanuary 10, 2022
✔ NPI 1063526507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 030694
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5440 HILLANDALE DR, Lithonia, GA 30058
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Other Identifiers 5

Other080184143GA · Medicare Railroad
Other481143GA · Bcbs
Other4491297GA · Aetna
Medicaid00381917DGA
Medicaid00381917CGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Eric Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group
16 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

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 30058 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 20

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

DR. AMY MARIE SCHLABACH PHARMD
Pharmacist
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (404) 365-0966
RICIA TAYLOR RD/N, LD, CDE
Dietitian, Registered
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (770) 322-3210
MRS. SHARON JACKSON WHITE F.N.P.
Nurse Practitioner (Family)
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (404) 365-0966
DR. JESSICA NKECHIYERE ORDU MD
Student in an Organized Health Care Education/Training Program
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (404) 365-0966
MRS. RUMBIDZAI CUNNINGHAM FNP-C
Nurse Practitioner (Obstetrics & Gynecology)
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (404) 364-7285
GUILLERMO F VALLS MD
Obstetrics & Gynecology
5440 HILLANDALE DR, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
LITHONIA, GA 30058
Dekalb County (770) 322-2716
CHARMAINE GRAY MD
Pediatrics
5440 HILLANDALE DR, PEDIATRICS HEALTH CARE TEAM A
LITHONIA, GA 30058
Dekalb County (770) 322-2712
MAR'QUENDA SANDERS MD
Pediatrics
5440 HILLANDALE DR
LITHONIA, GA 30058
Dekalb County (770) 809-3332

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 Eric Wilson's NPI number?

The NPI number for Eric Wilson is 1063526507. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Eric Wilson located?

Eric Wilson practices at 5440 Hillandale Dr Kaiser Permanente Panola Medical Center, Lithonia, GA 30058. The listed phone number is (770) 322-2777.

What is Eric Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eric Wilson enrolled in Medicare?

Yes. Eric Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eric Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Wilson reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). 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 Eric 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 Eric Wilson was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.