KATELYN STAHL WILSON CAA
NPI 1164965349
Anesthesiologist Assistant in Marietta, GA
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
Specialties & Licenses
Secondary Practice Locations 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Katelyn Wilson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kennesaw, GA 30152
- Reassigned Medicare billing, Georgia enrollment
- 629 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 441 clinicians in this Medicare group
Charleston, SC 29406
- Reassigned Medicare billing, South Carolina enrollment
- 154 clinicians in this Medicare group
Charleston, SC 29414
- Reassigned Medicare billing, South Carolina enrollment
- 375 clinicians in this Medicare group
Charleston, SC 29407
- Reassigned Medicare billing, South Carolina enrollment
- 77 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trident Medical Center
Acute Care Hospitals · Charleston, SCOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
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.
Which organizations bill Medicare for Katelyn Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Wilson reassigns Medicare benefits to 5 organizations: Mak Anesthesia Holdings LLC (Kennesaw, GA), Piedmont Anesthesia Associates, L.L.C (Atlanta, GA), Trident Anesthesia Group, LLC (Charleston, SC), Bon Secours St. Francis Xavier Hospital, Inc. (Charleston, SC) and Coastal Anesthesia Associates, LLC (Charleston, SC). Each 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 Katelyn Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Katelyn Wilson affiliated with any hospitals?
According to CMS data, Katelyn Wilson is affiliated with Trident Medical Center.
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 8 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.
# Katelyn Stahl Wilson, CAA · NPI 1164965349
Anesthesiologist Assistant physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since November 21, 2016.
## Identity
- **NPI:** 1164965349 (Entity type: Individual)
- **Enumerated:** November 21, 2016
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** 8217 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 677 CHURCH ST NE, Marietta, GA 30060
- **Phone:** (770) 794-0477
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mak Anesthesia Holdings LLC (NPI 1912452939, Kennesaw, GA); Piedmont Anesthesia Associates, L.L.C (NPI 1407856594, Atlanta, GA); Trident Anesthesia Group, LLC (NPI 1376595520, Charleston, SC); Bon Secours St. Francis Xavier Hospital, Inc. (NPI 1700620788, Charleston, SC); Coastal Anesthesia Associates, LLC (NPI 1942252176, Charleston, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164965349) · Data from the CMS NPPES public registry.