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DEWANNA WILSON ARNP
NPI 1215473319
Nurse Practitioner - Family in Lawrenceville, GA

Active since January 12, 2017PECOS Enrolled
1421 MOUNT WATER CT, LAWRENCEVILLE, GA 30043(404) 645-2960 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2021, Jan 12, 2017 (2 updates tracked since 2017).

About Dewanna Wilson Arnp NPPES

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

DEWANNA WILSON ARNP (NPI 1215473319) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (RN200756) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215473319
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEWANNA WILSONCredential: ARNP
Location Address1421 MOUNT WATER CTLawrenceville, GA 30043-6234
Mailing Address1421 Mount Water CtLawrenceville, GA 30043-6234 · (404) 645-2960
Phone(404) 645-2960
Sole ProprietorYes
Enumeration DateJanuary 12, 2017
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1215473319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN200756
1421 MOUNT WATER CT, Lawrenceville, GA 30043
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dewanna Wilson Arnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Dewanna Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
743 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30043 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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

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

HELPING HANDS HEALTH ADVOCATES
Nursing Care
1421 MOUNT WATER CT
LAWRENCEVILLE, GA 30043
Gwinnett County (404) 645-2960

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 Dewanna Wilson's NPI number?

The NPI number for Dewanna Wilson is 1215473319. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Where is Dewanna Wilson located?

Dewanna Wilson practices at 1421 Mount Water Ct, Lawrenceville, GA 30043. The listed phone number is (404) 645-2960.

What is Dewanna Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dewanna Wilson enrolled in Medicare?

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

Which organization bills Medicare for Dewanna Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dewanna Wilson reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Dewanna Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dewanna Wilson accept?

Health plans from CareSource (Common Ground Healthcare) list Dewanna 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.

When was this NPI record last updated?

The NPPES record for Dewanna Wilson was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.