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ELIZABETH L. WILSON PNP
NPI 1093080541
Nurse Practitioner - Pediatrics in Tifton, GA

Active since March 16, 2012PECOS Enrolled
215 12TH ST W, TIFTON, GA 31794(229) 396-5335(229) 396-5330 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2026, Oct 9, 2025, Oct 21, 2022 (3 updates tracked since 2022).

About Elizabeth L. Wilson Pnp NPPES

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

ELIZABETH L. WILSON PNP (NPI 1093080541) is an individual pediatrics provider in Tifton, Georgia, licensed in Georgia (RN191733) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093080541
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameELIZABETH L. WILSONCredential: PNP
Location Address215 12TH ST WTifton, GA 31794-3923
Mailing Address215 12th St WTifton, GA 31794-3923 · (229) 396-5335 · Fax (229) 396-5330
Phone(229) 396-5335
Fax(229) 396-5330
Sole ProprietorNo
Enumeration DateMarch 16, 2012
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1093080541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN191733
215 12TH ST W, Tifton, GA 31794
Open in Google Maps ↗

Other Identifiers 1

OtherRN191733GA · Ga Medical License

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth L. Wilson Pnp 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 Elizabeth Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Careconnect Health, Inc.
80 mi
Federally Qualified Health Center (FQHC)
510 ALSTON ST STE B
Richland, GA 31825
  • Reassigned Medicare billing, Georgia enrollment
  • 219 clinicians in this Medicare group
NPI 1063436624 (229) 887-3324

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 31794 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 2

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

MARK DAVIS WILSON M.D.
Pediatrics
215 12TH ST W
TIFTON, GA 31794
Tift County (229) 396-5335
TIFTAREA PEDIATRICS
Pediatrics
215 12TH ST W
TIFTON, GA 31794
Tift County (912) 690-4043

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 Elizabeth Wilson's NPI number?

The NPI number for Elizabeth Wilson is 1093080541. It was assigned to this individual provider in the NPPES registry on March 16, 2012.

Where is Elizabeth Wilson located?

Elizabeth Wilson practices at 215 12th St W, Tifton, GA 31794. The listed phone number is (229) 396-5335.

What is Elizabeth Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Elizabeth Wilson enrolled in Medicare?

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

Which organization bills Medicare for Elizabeth Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Wilson reassigns Medicare benefits to Careconnect Health, Inc. (Richland, 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 Elizabeth Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Wilson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Elizabeth 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Wilson was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.