Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. LEWIS CODY WILSON AA CERTIFIED
NPI 1538438452
Anesthesiologist Assistant in Atlanta, GA

Active since December 21, 2011PECOS EnrolledAccepts Medicare Assignment
77.32/100
CMS Quality Rating
1968 PEACHTREE RD NW, ATLANTA, GA 30309(404) 351-1745 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Lewis Cody Wilson Aa Certified NPPES

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

MR. LEWIS CODY WILSON AA CERTIFIED (NPI 1538438452) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (1487) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Memorial University Medical Center, and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1538438452
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. LEWIS CODY WILSONCredential: AA CERTIFIED
Location Address1968 PEACHTREE RD NWAtlanta, GA 30309-1281
Mailing AddressPo Box 945375Atlanta, GA 30394-5375 · (516) 945-3000 · Fax (704) 248-5537
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2012
Enumeration DateDecember 21, 2011
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1538438452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in GA · 1487
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1968 PEACHTREE RD NW, Atlanta, GA 30309

Secondary Practice Location 1

Location 15353 Reynolds StSavannah, GA 31405-6015 · Phone (516) 945-3000 · Fax (704) 248-5537

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Lewis Cody Wilson Aa Certified is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547419517
PECOS Enrollment IDI20121008000128
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.32
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
1968 PEACHTREE RD NW, PIEDMONT HOSPITAL TRANSPLANT SERVICES
ATLANTA, GA 30309
Anesthesiology
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Radiology (Diagnostic Radiology)
1968 PEACHTREE RD NW, RADIOLOGY DEPARTMENT
ATLANTA, GA 30309
Nurse Practitioner (Adult Health)
1968 PEACHTREE RD NW, BUILDING 77, 5TH FLOOR
ATLANTA, GA 30309
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309

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 Lewis Wilson's NPI number?

The NPI number for Lewis Wilson is 1538438452. It was assigned to this individual provider in the NPPES registry on December 21, 2011.

Where is Lewis Wilson located?

Lewis Wilson practices at 1968 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 351-1745.

What is Lewis Wilson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Lewis Wilson enrolled in Medicare?

Yes. Lewis Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lewis Wilson affiliated with any hospitals?

According to CMS data, Lewis Wilson is affiliated with Memorial University Medical Center.

When was this NPI record last updated?

The NPPES record for Lewis Wilson was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.