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SHENELLE WILSON
NPI 1215283775
Urology in Kingsport, TN

Active since August 01, 2012PECOS EnrolledAccepts Medicare Assignment
2204 PAVILION DR STE 310, KINGSPORT, TN 37660(423) 246-4155 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2026, Jan 12, 2022, May 27, 2020 and 1 more (4 updates tracked since 2018).

About Shenelle Wilson NPPES

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

SHENELLE WILSON (NPI 1215283775) is an individual urology provider in Kingsport, Tennessee, licensed in Georgia (85818) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1215283775
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameSHENELLE WILSON
Location Address2204 PAVILION DR STE 310Kingsport, TN 37660-4653
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Phone(423) 246-4155
Sole ProprietorYes
Medical School CMSMorehouse School Of MedicineGraduated 2013
Enumeration DateAugust 1, 2012
Last NPPES UpdateFebruary 6, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1215283775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in GA · 85818✔ Licensed in AL · 36843
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2204 PAVILION DR STE 310, Kingsport, TN 37660
Open in Google Maps ↗

Other Names 1

Professional Name (2)Shenelle Nicole Wilson

Secondary Practice Locations 4

Location 1400 N State Of Franklin RdJohnson City, TN 37604-6035 · Phone (423) 431-6111
Location 22119 E South Blvd Ste 200Montgomery, AL 36116-2496 · Phone (334) 747-7070
Location 31 Medical Park BlvdBristol, TN 37620-7430 · Phone (423) 844-1121
Location 41301 Shiloh Rd NW Ste 660Kennesaw, GA 30144-7158 · Phone (404) 913-2891

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 and accepts Medicare assignment

Shenelle Wilson 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 ID6103060843
PECOS Enrollment IDI20181128002059, I20200603002830
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 Reassignments

11

Medicare enrollment records show Shenelle Wilson reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Georgia Physicians Group Inc
172 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000
Georgia Urology PA
183 mi
Urology
1223 FRIENDSHIP RD., BLDG. 400 SUITE 100
Braselton, GA 30517
  • Reassigned Medicare billing, Georgia enrollment
  • 115 clinicians in this Medicare group
NPI 1538691498 (678) 205-8387
Wellstar Medical Group, LLC
195 mi
Family Medicine
687 MARIETTA HWY
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1386054278 (770) 479-8040
Metro Atlanta Urology And Pelvic Health Center, LLC
209 mi
Urogynecology and Reconstructive Pelvic Surgery
1301 SHILOH RD NW STE 660
Kennesaw, GA 30144
  • Reassigned Medicare billing, Georgia enrollment
NPI 1174274013 (404) 913-2891
Urological Professional Services, LLC
210 mi
Urology
1000 JOHNSON FY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 95 clinicians in this Medicare group
NPI 1033521810 (855) 709-4535
St. Francis Physician Practices LLC
310 mi
Obstetrics & Gynecology
6801 RIVER RD STE 301
Columbus, GA 31904
  • Reassigned Medicare billing, Georgia enrollment
  • 292 clinicians in this Medicare group
NPI 1508458563 (706) 320-2719
University Of Alabama Health Services Foundation, PC
311 mi
Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1366638330 (205) 934-4983
Health Care Authority For Baptist Health, An Affiliate Of Uabhs
356 mi
Internal Medicine
301 BROWN SPRINGS RD
Montgomery, AL 36117
  • Reassigned Medicare billing, Alabama enrollment
  • 439 clinicians in this Medicare group
NPI 1033534524 (334) 273-4159
Wiregrass Clinic LLC
404 mi
Neurological Surgery
4300 W MAIN ST, SUITE 21
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 100 clinicians in this Medicare group
NPI 1558657890 (334) 794-5000
Methodist Medical Center Of Illinois
478 mi
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
NPI 1184670663 (309) 671-8230

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services22 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services15 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.
18 services11 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110031
Location601 South 8th StreetGriffin, GA 30224 · Spalding County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 3

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

GRANT D TAYLOR MD
Urology
2204 PAVILION DR STE 310
KINGSPORT, TN 37660
Sullivan County (423) 246-4155
PATRICK RENE SHOWALTER MD
Urology
2204 PAVILION DR STE 310
KINGSPORT, TN 37660
Sullivan County (423) 246-4155
MRS. JAMIE GIVENS NP
Nurse Practitioner (Family)
2204 PAVILION DR STE 310
KINGSPORT, TN 37660
Sullivan County (423) 230-4660

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 Shenelle Wilson's NPI number?

The NPI number for Shenelle Wilson is 1215283775. It was assigned to this individual provider in the NPPES registry on August 1, 2012. The provider is also known as Shenelle Nicole Wilson.

Where is Shenelle Wilson located?

Shenelle Wilson practices at 2204 Pavilion Dr Ste 310, Kingsport, TN 37660. The listed phone number is (423) 246-4155.

What is Shenelle Wilson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Shenelle Wilson enrolled in Medicare?

Yes. Shenelle 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 Shenelle Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shenelle Wilson reassigns Medicare benefits to 11 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA), Georgia Urology PA (Braselton, GA), Wellstar Medical Group, LLC (Canton, GA), Metro Atlanta Urology And Pelvic Health Center, LLC (Kennesaw, GA), Urological Professional Services, LLC (Atlanta, GA) and 6 more organizations, listed in the Medicare section above. 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 Shenelle Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shenelle 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 4 other insurers list Shenelle 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.

Is Shenelle Wilson affiliated with any hospitals?

According to CMS data, Shenelle Wilson is affiliated with Wellstar Spalding Medical Center.

When was this NPI record last updated?

The NPPES record for Shenelle Wilson was last updated on February 6, 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.