KATELYN STAHL WILSON CAA
NPI 1164965349
Anesthesiologist Assistant in Marietta, GA

Q: What is Katelyn Wilson's NPI number?

The NPI number for Katelyn Wilson is 1164965349. It was assigned to this individual provider in the NPPES registry on November 21, 2016.

Q: What is Katelyn Wilson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Wilson was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 21, 2016Accepts Medicare Assignment

677 CHURCH ST NE, MARIETTA, GA 30060(770) 794-0477 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Oct 9, 2018, Nov 21, 2016 (3 updates tracked since 2016).

On this page

About Katelyn Stahl Wilson Caa NPPES

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

KATELYN STAHL WILSON CAA (NPI 1164965349) is an individual anesthesiologist assistant in Marietta, Georgia, licensed in Georgia (8217) and active in the NPI registry since November 2016. She is affiliated with Trident Medical Center, maintains 4 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164965349

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameKATELYN STAHL WILSONCredential: CAA

Location Address677 CHURCH ST NEMarietta, GA 30060

Mailing AddressPo Box 603484Charlotte, NC 28260-3484 · (803) 765-1838 · Fax (803) 765-1732

Phone(770) 794-0477

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 21, 2016

Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2026

✔ NPI 1164965349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Licenses✔ Licensed in GA · 8217✔ Licensed in SC · 92

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

677 CHURCH ST NE, Marietta, GA 30060

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Secondary Practice Locations 4

Location 1303 Parkway Dr NEAtlanta, GA 30312-1212 · Phone (843) 343-3557

Location 2146 Bill Carruth PkwyHiram, GA 30141-3749 · Phone (770) 794-0477

Location 38954 Hospital DrDouglasville, GA 30134-2272 · Phone (770) 794-0477

Location 42095 Henry Tecklenburg DrCharleston, SC 29414-5733 · Phone (843) 402-1436 · Fax (843) 402-1833

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

Katelyn Stahl Wilson Caa 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 ID6901187715

PECOS Enrollment IDI20230718002951

Areas of Expertise CMS Part B claims 4

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.

Anesthesia for other procedure on lower abdomen 00840

Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.

23 services22 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

18 services18 patients

Anesthesia for procedure on anus and rectum 00902

Anesthesia for procedures on the anus and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.

11 services11 patients

Anesthesia for total hip replacement 01214

Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420087

Location316 Calhoun StCharleston, SC 29401 · Charleston County

Emergency services

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.

JILLIAN MARIE BLALOCK DO

Emergency Medicine

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

JAMIN GRAHAM MD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

SAUMYA GURBANI MD, PHD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060

Cobb County (770) 793-7742

DR. HALEY PUCKETT LAWHORN MD

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

MRS. RHONDA KIM LEE NP-C

Registered Nurse (Wound Care)

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-7173

DEVIN HORTON CRNA

Nurse Anesthetist, Certified Registered

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 794-0477

BRITNEY ELIZABETH BECKETT

Student in an Organized Health Care Education/Training Program

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

MS. EVELYN KAY HALE RN

Registered Nurse

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-9560

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 Katelyn Wilson's NPI number?

The NPI number for Katelyn Wilson is 1164965349. It was assigned to this individual provider in the NPPES registry on November 21, 2016.

Where is Katelyn Wilson located?

Katelyn Wilson practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 794-0477.

What is Katelyn Wilson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Katelyn Wilson enrolled in Medicare?

Yes. Katelyn 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.

Is Katelyn Wilson affiliated with any hospitals?

According to CMS data, Katelyn Wilson is affiliated with Trident Medical Center and Roper Hospital.

When was this NPI record last updated?

The NPPES record for Katelyn Wilson was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.