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ZACHARY TYLER WILSON DO
NPI 1205773074
Student in an Organized Health Care Education/Training Program in Savannah, GA

Active since April 30, 2026PECOS Enrolled
4700 WATERS AVE, SAVANNAH, GA 31404(912) 350-8000 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zachary Tyler Wilson Do NPPES

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

ZACHARY TYLER WILSON DO (NPI 1205773074) is an individual student in an organized health care education/training program in Savannah, Georgia and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205773074
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameZACHARY TYLER WILSONCredential: DO
Location Address4700 WATERS AVESavannah, GA 31404-6220
Mailing Address4700 Waters AveSavannah, GA 31404-6220 · (912) 350-8000
Phone(912) 350-8000
Sole ProprietorNo
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1205773074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4700 WATERS AVE, Savannah, GA 31404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Tyler Wilson Do 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.

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.

KRISTEN BEELER DO
Pediatrics (Physician Nutrition Specialist)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
ERIN NICOLLE JOHNSON MD
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
DR. RAMON VERNON MEGUIAR M.D.
Obstetrics & Gynecology
4700 WATERS AVE, SUITE CAM 500
SAVANNAH, GA 31404
Chatham County (912) 350-9456
BETHANY LANDIS STEARNS ATC
Specialist/Technologist (Athletic Trainer)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
JEAN TOFFEY DO
General Practice
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-7573
DR. KINHTU LIEN MD
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-7573
SAVANNAH MULTISPECIALTY ASSOCIATES, LLC
Surgery (Surgical Critical Care)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
BRADLEY POST
Emergency Medicine
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-3849

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 Zachary Wilson's NPI number?

The NPI number for Zachary Wilson is 1205773074. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Zachary Wilson located?

Zachary Wilson practices at 4700 Waters Ave, Savannah, GA 31404. The listed phone number is (912) 350-8000.

What is Zachary Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Zachary Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Zachary Wilson was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.