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WILSON'S WELLNESS CLINICAL CARE, LLC
NPI 1073041166
Clinic/Center - Primary Care in Stone Mountain, GA

Active since June 01, 2017
1310 ROCKBRIDGE RD STE F, STONE MOUNTAIN, GA 30087(770) 864-5538(404) 393-4038 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 9, 2025, Jun 1, 2017 (2 updates tracked since 2017).

About Wilson's Wellness Clinical Care, Llc NPPES

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

WILSON'S WELLNESS CLINICAL CARE, LLC (NPI 1073041166) is a healthcare organization registered as a primary care in Stone Mountain, Georgia and active in the NPI registry since June 2017. The organization lists Dana Wilson, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1073041166
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWILSON'S WELLNESS CLINICAL CARE, LLC
Location Address1310 ROCKBRIDGE RD STE FStone Mountain, GA 30087-3163
Mailing Address1310 Rockbridge Rd Ste FStone Mountain, GA 30087-3163 · (770) 864-5538 · Fax (404) 393-4038
Phone(770) 864-5538
Fax(404) 393-4038
Organization SubpartNo
Authorized OfficialDana WilsonOwner/manager · (404) 981-3936
Enumeration DateJune 1, 2017
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1073041166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1310 ROCKBRIDGE RD STE F, Stone Mountain, GA 30087
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilson's Wellness Clinical Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wilson's Wellness Clinical Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dana Wilson, DNP, APRN, FNP-C
Nurse Practitioner
NPI 1518383959
1310 ROCKBRIDGE ROAD, SW SUITE F
Stone Mtn, GA 30087
(770) 864-5538
✔ PECOS✔ Accepts MedicareSame address

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

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 Wilson's Wellness Clinical Care, LLC's NPI number?

The NPI number for Wilson's Wellness Clinical Care, LLC is 1073041166. It was assigned to this organization in the NPPES registry on June 1, 2017.

Where is Wilson's Wellness Clinical Care, LLC located?

Wilson's Wellness Clinical Care, LLC is located at 1310 Rockbridge Rd Ste F, Stone Mountain, GA 30087. The listed phone number is (770) 864-5538.

What is Wilson's Wellness Clinical Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Wilson's Wellness Clinical Care, LLC enrolled in Medicare?

Yes. Wilson's Wellness Clinical Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wilson's Wellness Clinical Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wilson's Wellness Clinical Care, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wilson's Wellness Clinical Care, LLC was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.