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HALEY B. WILSON PA-C
NPI 1336111046
Physician Assistant - Medical in Gainesville, GA

Active since February 06, 2006PECOS Enrolled
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(770) 535-3611(770) 535-7092 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 17, 2023, Jul 8, 2021, Nov 30, 2020 and 1 more (4 updates tracked since 2018).

About Haley B. Wilson Pa-c NPPES

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

HALEY B. WILSON PA-C (NPI 1336111046) is an individual medical provider in Gainesville, Georgia, licensed in Georgia (003272) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1336111046
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHALEY B. WILSONCredential: PA-C
Location Address725 JESSE JEWELL PKWY SEGainesville, GA 30501-3834
Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 533-4786
Phone(770) 535-3611
Fax(770) 535-7092
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateAugust 17, 20234 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1336111046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 003272
Also ListedPhysician AssistantTaxonomy 363A00000X · License 3272 (GA)
725 JESSE JEWELL PKWY SE, Gainesville, GA 30501
Open in Google Maps ↗

Secondary Practice Locations 4

Location 14019 Executive DriveOakwood, GA 30566-3433 · Phone (770) 533-6500 · Fax (770) 533-6543
Location 2155 Professional DrBaldwin, GA 30511-4000 · Phone (706) 776-2368 · Fax (706) 776-2589
Location 31270 Friendship RdBraselton, GA 30517-5608 · Phone (678) 207-4200 · Fax (770) 533-4771
Location 44095 S Lee StBuford, GA 30518-3647 · Phone (770) 932-8519 · Fax (770) 533-4798

Other Identifiers 9

Medicaid100000359CGA
Other303679GA · Wellcare
Medicaid100000358AGA
Other10032996GA · Amerigroup
Other303676GA · Wellcare
Other303673GA · Wellcare
Other303686GA · Wellcare
Medicaid100000357AGA
Medicaid100000359BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley B. Wilson Pa-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.

Other Providers at the Same Location NPPES 20

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

THE LONGSTREET CLINIC, PC
Clinical Medical Laboratory
725 JESSE JEWELL PKWY SE, SUITE 260
GAINESVILLE, GA 30501
Hall County (770) 535-0079
EILEEN JAVELLANA MD
Internal Medicine
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4373
MRS. BRANDI NICHELLE MONROE PA
Physician Assistant (Surgical)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4000
MRS. JEANETTE SUSAN PIRKLE APRN, NP-C
Nurse Practitioner (Family)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 297-5700
COURTNEY L GRANT M.D.
Surgery (Vascular Surgery)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4000
MARY HANNAH READ MD
Surgery
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 533-6523
WESLEY AARON ZILA PA-C
Physician Assistant
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4000
NANCY ELLEN JOHNSON MD
Pediatrics
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 535-3611

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 Haley Wilson's NPI number?

The NPI number for Haley Wilson is 1336111046. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Haley Wilson located?

Haley Wilson practices at 725 Jesse Jewell Pkwy SE, Gainesville, GA 30501. The listed phone number is (770) 535-3611.

What is Haley Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Haley Wilson enrolled in Medicare?

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

What insurance does Haley Wilson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Haley 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 Haley Wilson was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.