Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARMAINE WILSON MD
NPI 1083870265
Psychiatry & Neurology - Psychiatry in Villa Rica, GA

Q: What is Charmaine Wilson's NPI number?

The NPI number for Charmaine Wilson is 1083870265. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Q: What is Charmaine Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Charmaine Wilson was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.

Active since August 06, 2008PECOS Enrolled

101 QUARTZ DR STE 103, VILLA RICA, GA 30180(770) 812-3530 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2026, Apr 13, 2026, Feb 10, 2025 and 2 more (5 updates tracked since 2018).

On this page

About Charmaine Wilson Md NPPES

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

CHARMAINE WILSON MD (NPI 1083870265) is an individual psychiatry provider in Villa Rica, Georgia, licensed in Georgia (068021) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Joplin, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1083870265

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameCHARMAINE WILSONCredential: MD

Location Address101 QUARTZ DR STE 103Villa Rica, GA 30180-3255

Mailing Address4485 Fulton Industrial Blvd SwAtlanta, GA 30336-1761 · (706) 449-2884

Phone(770) 812-3530

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 6, 2008

Last NPPES UpdateJuly 16, 20265 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1083870265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in GA · 068021✔ Licensed in MI · 4301101215✔ Licensed in FL · ME144680✔ Licensed in MO · 2026012136

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

101 QUARTZ DR STE 103, Villa Rica, GA 30180

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Secondary Practice Locations 4

Location 115400 W McNichols RdDetroit, MI 48235-3724 · Phone (313) 416-6262 · Fax (313) 221-8217

Location 21345 Redmond Cir NWRome, GA 30165-1307 · Phone (910) 742-9243

Location 3300 68th St SEGrand Rapids, MI 49548-6927 · Phone (616) 455-5000

Location 4100 Professional Pl Ste 303Carrollton, GA 30117-3872 · Phone (770) 812-5783 · Fax (770) 812-5784

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Charmaine Wilson Md 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 ID1355572611

PECOS Enrollment IDI20140331000075, I20260505003017

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.

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260001

Location100 Mercy WayJoplin, MO 64804 · Jasper County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 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

$164.04 typical visit price

range $53.31 – $164.04

Typical copayment $41.01 (range $13.32 – $41.01)

Most-billed visit code 99205

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

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 10

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

DR. WILLIAM SCHNEIDER M.D.

Psychiatry & Neurology (Forensic Psychiatry)