TARAH WILSON NP-C - NPI 1285234245 - Nurse Practitioner in Ashburn, GA

Q: What is Tarah Wilson's NPI number?

The NPI number for Tarah Wilson is 1285234245. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Q: What is Tarah Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tarah Wilson was last updated on January 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tarah Wilson Np-c NPPES

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

TARAH WILSON NP-C (NPI 1285234245) is an individual family provider in Ashburn, Georgia, licensed in Georgia (RN164317) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285234245

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARAH WILSONCredential: NP-C

Location Address317 E WASHINGTON AVEAshburn, GA 31714-5248

Mailing Address317 E Washington AveAshburn, GA 31714-5248 · (229) 567-4414 · Fax (229) 567-4419

Phone(229) 567-4414

Fax(229) 567-4419

Sole ProprietorNo

Enumeration DateOctober 29, 2020

Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1285234245 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 · RN164317

317 E WASHINGTON AVE, Ashburn, GA 31714

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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)

Tarah Wilson Np-c 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 31714 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.