DR. NICOLE EDITH WILSON D.P.M.
NPI 1073806956
Podiatrist - Foot & Ankle Surgery in Douglas, GA

Q: What is Nicole Wilson's NPI number?

The NPI number for Nicole Wilson is 1073806956. It was assigned to this individual provider in the NPPES registry on May 25, 2011. The provider is also known as Dr. Nicole Edith Allen-Wilson D.P.M..

Q: What is Nicole Wilson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Wilson was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 25, 2011PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

204 WESTSIDE DR, DOUGLAS, GA 31533(912) 384-4121(912) 389-1817 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Nicole Edith Wilson D.p.m. NPPES

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

DR. NICOLE EDITH WILSON D.P.M. (NPI 1073806956) is an individual foot & ankle surgery provider in Douglas, Georgia, licensed in Georgia (POD001284) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Dorminy Medical Center, and is a graduate of Kent State University College Of Podiatric Medicine (2011).

NPPES Registry Identity

NPI1073806956

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameDR. NICOLE EDITH WILSONCredential: D.P.M.

Location Address204 WESTSIDE DRDouglas, GA 31533-3528

Mailing Address204 Westside DrDouglas, GA 31533-3528 · (912) 384-4121 · Fax (912) 389-1817

Phone(912) 384-4121

Fax(912) 389-1817

Sole ProprietorYes

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2011

Enumeration DateMay 25, 2011

Last NPPES UpdateFebruary 25, 2016

✔ NPI 1073806956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in GA · POD001284

204 WESTSIDE DR, Douglas, GA 31533

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Nicole Edith Allen-wilson D.p.m.

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Edith Wilson D.p.m. 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 ID1557675667

PECOS Enrollment IDI20150803002861

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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

608 services205 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

240 services118 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

176 services105 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

168 services122 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

66 services66 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

62 services28 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

49 services47 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

46 services25 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

23 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services15 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

13 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Dorminy Medical Center

Acute Care Hospitals · Fitzgerald, GA

OwnershipGovernment - Local

CMS Certification Number110073

Location200 Perry House Road, Box 1447Fitzgerald, GA 31750 · Ben Hill County

Emergency services

Coffee Regional Medical Center, Inc

Acute Care Hospitals · Douglas, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110089

Location1101 Ocilla RoadDouglas, GA 31533 · Coffee County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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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.

ANKLE AND FOOT ASSOC, LLC

Podiatrist (Foot & Ankle Surgery)

204 WESTSIDE DR
DOUGLAS, GA 31533

Coffee County (912) 384-4121

GREGORY J KRAMER D.P.M.

Podiatrist

204 WESTSIDE DR
DOUGLAS, GA 31533

Coffee County (912) 384-4121

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 Nicole Wilson's NPI number?

The NPI number for Nicole Wilson is 1073806956. It was assigned to this individual provider in the NPPES registry on May 25, 2011. The provider is also known as Dr. Nicole Edith Allen-Wilson D.P.M..

Where is Nicole Wilson located?

Nicole Wilson practices at 204 Westside Dr, Douglas, GA 31533. The listed phone number is (912) 384-4121.

What is Nicole Wilson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Nicole Wilson enrolled in Medicare?

Yes. Nicole Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Wilson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nicole Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Wilson affiliated with any hospitals?

According to CMS data, Nicole Wilson is affiliated with Dorminy Medical Center and Coffee Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Nicole Wilson was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.