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WILSON OMESIETE MD
NPI 1609373695
Dermatology in Watkinsville, GA

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment
1220 LANGFORD DR STE 103, WATKINSVILLE, GA 30677(706) 353-8220(404) 816-7929 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wilson Omesiete Md NPPES

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

WILSON OMESIETE MD (NPI 1609373695) is an individual dermatology provider in Watkinsville, Georgia, licensed in Georgia (104251) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2018).

NPPES Registry Identity

NPI1609373695
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameWILSON OMESIETECredential: MD
Location Address1220 LANGFORD DR STE 103Watkinsville, GA 30677-7221
Mailing Address1220 Langford Dr Ste 103Watkinsville, GA 30677-7221 · (706) 353-8220 · Fax (706) 353-8220
Phone(706) 353-8220
Fax(404) 816-7929
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2018
Enumeration DateApril 6, 2018
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1609373695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 104251
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1220 LANGFORD DR STE 103, Watkinsville, GA 30677
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wilson Omesiete Md 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 ID5395093363
PECOS Enrollment IDI20250818001970
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.

Medicare Billing Reassignment

Medicare enrollment records show Wilson Omesiete reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatology Affiliates, LLC
52 mi
Specialist
3131 MAPLE DR NE, SUITE 102
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 14 clinicians in this Medicare group
NPI 1730244872 (404) 816-7900

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

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30677 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

PINNACLE DERMATOLOGY, S.C.
Non-Pharmacy Dispensing Site
1220 LANGFORD DR STE 103
WATKINSVILLE, GA 30677
Oconee County (706) 353-8220
MRS. CINDY ANDREWS PA
Physician Assistant
1220 LANGFORD DR STE 103
WATKINSVILLE, GA 30677
Oconee County (706) 353-8220

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 Wilson Omesiete's NPI number?

The NPI number for Wilson Omesiete is 1609373695. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Wilson Omesiete located?

Wilson Omesiete practices at 1220 Langford Dr Ste 103, Watkinsville, GA 30677. The listed phone number is (706) 353-8220.

What is Wilson Omesiete's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Wilson Omesiete enrolled in Medicare?

Yes. Wilson Omesiete 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.

Which organization bills Medicare for Wilson Omesiete's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilson Omesiete reassigns Medicare benefits to Dermatology Affiliates, LLC (Atlanta, GA). The 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 Wilson Omesiete's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Wilson Omesiete affiliated with any hospitals?

According to CMS data, Wilson Omesiete is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Wilson Omesiete was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.