MRS. LAVONA CONSTANCIA WILSON NP
NPI 1245677806
Nurse Practitioner - Family in Ringgold, GA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since May 22, 2013PECOS Enrolled

6120 ALABAMA HWY, RINGGOLD, GA 30736(706) 935-6442(706) 935-6441 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Lavona Constancia Wilson Np NPPES

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

MRS. LAVONA CONSTANCIA WILSON NP (NPI 1245677806) is an individual family provider in Ringgold, Georgia, licensed in Georgia (RN208918) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1245677806

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LAVONA CONSTANCIA WILSONCredential: NP

Location Address6120 ALABAMA HWYRinggold, GA 30736-2804

Mailing Address467 Kelly St SeAtlanta, GA 30312-3006 · (301) 717-5997

Phone(706) 935-6442

Fax(706) 935-6441

Sole ProprietorNo

Enumeration DateMay 22, 2013

Last NPPES UpdateAugust 15, 2018

✔ NPI 1245677806 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 · RN208918

6120 ALABAMA HWY, Ringgold, GA 30736

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Secondary Practice Location 1

Location 13108 Piedmont Rd NEAtlanta, GA 30305-2513 · Phone (404) 237-1755

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. Lavona Constancia Wilson Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30736 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.