MRS. COURTNEY ANN WILSON PA
NPI 1174168595
Physician Assistant in Suwanee, GA

Active since November 08, 2019PECOS Enrolled
1300 PEACHTREE INDUSTRIAL BLVD STE 4101, SUWANEE, GA 30024(770) 831-5525 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Aug 3, 2022, Aug 12, 2020 and 1 more (4 updates tracked since 2019).

About Mrs. Courtney Ann Wilson Pa NPPES

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

MRS. COURTNEY ANN WILSON PA (NPI 1174168595) is an individual physician assistant in Suwanee, Georgia, licensed in Georgia (9676) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174168595
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. COURTNEY ANN WILSONCredential: PA
Location Address1300 PEACHTREE INDUSTRIAL BLVD STE 4101Suwanee, GA 30024-4542
Mailing Address1300 Peachtree Industrial Blvd Ste 4101Suwanee, GA 30024-4542 · (770) 831-5525
Sole ProprietorNo
Enumeration DateNovember 8, 2019
Last NPPES UpdateJune 12, 20244 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
NPI 1174168595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 9676
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1300 PEACHTREE INDUSTRIAL BLVD STE 4101, Suwanee, GA 30024

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Courtney Ann Wilson Pa 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.

Areas of Expertise CMS Part B claims 12

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
662 services63 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.
211 services190 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
108 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
92 services77 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
46 services45 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
39 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 8

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

Physician Assistant
1300 PEACHTREE INDUSTRIAL BLVD STE 4101
SUWANEE, GA 30024
Physician Assistant
1300 PEACHTREE INDUSTRIAL BLVD STE 4101
SUWANEE, GA 30024
Physician Assistant
1300 PEACHTREE INDUSTRIAL BLVD STE 4101
SUWANEE, GA 30024
Physician Assistant
1300 PEACHTREE INDUSTRIAL BLVD STE 4101
SUWANEE, GA 30024
Physician Assistant
1300 PEACHTREE INDUSTRIAL BLVD STE 4101
SUWANEE, GA 30024
Physician Assistant
1300 PEACHTREE INDUSTRIAL BLVD STE 4101
SUWANEE, GA 30024
General Practice
1300 PEACHTREE INDUSTRIAL BLVD STE 4101
SUWANEE, GA 30024
Physician Assistant
1300 PEACHTREE INDUSTRIAL BLVD STE 4101
SUWANEE, GA 30024

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 Courtney Wilson's NPI number?

The NPI number for Courtney Wilson is 1174168595. It was assigned to this individual provider in the NPPES registry on November 8, 2019.

Where is Courtney Wilson located?

Courtney Wilson practices at 1300 Peachtree Industrial Blvd Ste 4101, Suwanee, GA 30024. The listed phone number is (770) 831-5525.

What is Courtney Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Courtney Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Courtney Wilson was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.