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ERIN DESTINY WILSON
NPI 1306622949
Speech-Language Pathologist in Grayson, GA

Active since September 07, 2023
1637 ATHENS HWY STE B, GRAYSON, GA 30017(770) 995-9600 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Erin Destiny Wilson NPPES

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

ERIN DESTINY WILSON (NPI 1306622949) is an individual speech-language pathologist provider in Grayson, Georgia, licensed in Georgia (SLP012637) and active in the NPI registry since September 2023. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1306622949
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameERIN DESTINY WILSON
Location Address1637 ATHENS HWY STE BGrayson, GA 30017-1768
Mailing Address1637 Athens Hwy Ste BGrayson, GA 30017-1768 · (770) 995-9600
Phone(770) 995-9600
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 7, 2023
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1306622949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in GA · SLP012637
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1637 ATHENS HWY STE B, Grayson, GA 30017
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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)

Erin Destiny Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456834175
PECOS Enrollment IDI20260312001960

Other Providers at the Same Location NPPES

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

CREATIVE LIFE CENTER, LLC
Psychiatry & Neurology (Geriatric Psychiatry)
1637 ATHENS HWY STE B
GRAYSON, GA 30017
Gwinnett County (678) 344-8269

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 Erin Wilson's NPI number?

The NPI number for Erin Wilson is 1306622949. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Erin Wilson located?

Erin Wilson practices at 1637 Athens Hwy Ste B, Grayson, GA 30017. The listed phone number is (770) 995-9600.

What is Erin Wilson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Erin Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Erin Wilson was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.