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ILYA WOLFSON M.D., INC
NPI 1275761025
Family Medicine in Woodstock, GA

Active since June 30, 2009
3380 TRICKUM RD BLDG 1000-102, WOODSTOCK, GA 30188(770) 591-4777(770) 406-2340 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ilya Wolfson M.d., Inc NPPES

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

ILYA WOLFSON M.D., INC (NPI 1275761025) is a healthcare organization registered as a family medicine in Woodstock, Georgia and active in the NPI registry since June 2009. The organization lists Ilya Wolfson, Owner, as its authorized official.

NPPES Registry Identity

NPI1275761025
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameILYA WOLFSON M.D., INC
Location Address3380 TRICKUM RD BLDG 1000-102Woodstock, GA 30188-3690
Mailing Address3380 Trickum Rd Bldg 1000-102Woodstock, GA 30188-3690 · (770) 591-4777 · Fax (770) 406-2340
Phone(770) 591-4777
Fax(770) 406-2340
Organization SubpartNo
Authorized OfficialIlya WolfsonOwner · (770) 591-4777
Enumeration DateJune 30, 2009
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1275761025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 051860
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3380 TRICKUM RD BLDG 1000-102, Woodstock, GA 30188
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Other Identifiers 1

Medicaid051415364DGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ilya Wolfson M.d., Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ilya Wolfson M.D., Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ilya Wolfson, MD
Family Practice
NPI 1942261441
3380 TRICKUM RD BLDG 1000-102
Woodstock, GA 30188
(770) 591-4777
✔ PECOS✔ Accepts MedicareSame address

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

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 Ilya Wolfson M.D., Inc's NPI number?

The NPI number for Ilya Wolfson M.D., Inc is 1275761025. It was assigned to this organization in the NPPES registry on June 30, 2009.

Where is Ilya Wolfson M.D., Inc located?

Ilya Wolfson M.D., Inc is located at 3380 Trickum Rd Bldg 1000-102, Woodstock, GA 30188. The listed phone number is (770) 591-4777.

What is Ilya Wolfson M.D., Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ilya Wolfson M.D., Inc enrolled in Medicare?

Yes. Ilya Wolfson M.D., Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ilya Wolfson M.D., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ilya Wolfson M.D., Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ilya Wolfson M.D., Inc was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.