VIRGINIA WILSON
NPI 1629262936
Nurse Practitioner - Family in Fayetteville, GA

Active since August 29, 2007CLIA Certified · 4 labs
480 GLYNN ST N, FAYETTEVILLE, GA 30214(866) 389-2727(401) 652-9787 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Virginia Wilson NPPES

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

VIRGINIA WILSON (NPI 1629262936) is an individual family provider in Fayetteville, Georgia, licensed in Georgia (RN065217 NP) and active in the NPI registry since August 2007. She holds 4 active CLIA laboratory certificates.

NPPES Registry Identity

NPI1629262936
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVIRGINIA WILSON
Location Address480 GLYNN ST NFayetteville, GA 30214-1192
Mailing Address480 Glynn St NFayetteville, GA 30214-1192 · (866) 389-2727 · Fax (401) 652-9787
Fax(401) 652-9787
Sole ProprietorNo
Enumeration DateAugust 29, 2007
Last NPPES UpdateApril 6, 2015
NPI 1629262936 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 · RN065217 NP
480 GLYNN ST N, Fayetteville, GA 30214

Other Identifiers 1

Medicare UPIN511I500108GA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 15

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2226818

Virginia CVS Pharmacy, LLC Dba CVS Pharmacy #02111 · Ashburn, VA
Active · expires Jun 3, 2027
CLIA Number49D2226818
Laboratory TypePharmacy
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorBrandon Eckstein
Laboratory Phone(866) 389-2727
Laboratory LocationVirginia CVS Pharmacy, LLC Dba CVS Pharmacy #0211143930 Farmwell Hunt Plaza Unit 140, Ashburn, VA 20147
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2226823

Virginia CVS Pharmacy, LLC Dba CVS Pharmacy #10320 · Baileys Crossroads, VA
Active · expires Jun 3, 2027
CLIA Number49D2226823
Laboratory TypePharmacy
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorJohn Hoffman
Laboratory Phone(866) 389-2727
Laboratory LocationVirginia CVS Pharmacy, LLC Dba CVS Pharmacy #103203401 Charles Street, Baileys Crossroads, VA 22041
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2226713

Virginia CVS Pharmacy, LLC Dba CVS Pharmacy #10170 · Vienna, VA
Active · expires Jun 2, 2027
CLIA Number49D2226713
Laboratory TypePharmacy
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorSara Taman
Laboratory Phone(866) 389-2727
Laboratory LocationVirginia CVS Pharmacy, LLC Dba CVS Pharmacy #101708117 Leesburg Pike, Vienna, VA 22182
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2226438

Virginia CVS Pharmacy, LLC Dba CVS Pharmacy #01423 · Stafford, VA
Active · expires May 31, 2027
CLIA Number49D2226438
Laboratory TypePharmacy
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorAnn Quayson
Laboratory Phone(866) 389-2727
Laboratory LocationVirginia CVS Pharmacy, LLC Dba CVS Pharmacy #01423388 Garrisonville Rd, Stafford, VA 22554
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2259568

Virginia CVS Pharmacy LLC Dba CVS Pharmacy #04194 · Winchester, VA
Expired · May 8, 2026
CLIA Number49D2259568
Laboratory TypePharmacy
Certificate Effective DateMay 9, 2024
Certificate Expiration DateMay 8, 2026
Laboratory DirectorDavid Harding
Laboratory Phone(866) 389-2727
Laboratory LocationVirginia CVS Pharmacy LLC Dba CVS Pharmacy #041942207 Valley Ave, Winchester, VA 22601
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2259569

Virginia CVS Pharmacy LLC Dba CVS Pharmacy #07947 · Harrisonburg, VA
Expired · May 8, 2026
CLIA Number49D2259569
Laboratory TypePharmacy
Certificate Effective DateMay 9, 2024
Certificate Expiration DateMay 8, 2026
Laboratory DirectorSarah Busi
Laboratory Phone(866) 389-2727
Laboratory LocationVirginia CVS Pharmacy LLC Dba CVS Pharmacy #079471151 Port Republic Rd, Harrisonburg, VA 22801
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Pharmacy
480 GLYNN ST N
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
480 GLYNN ST N
FAYETTEVILLE, GA 30214
Pharmacist
480 GLYNN ST N
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
480 GLYNN ST N
FAYETTEVILLE, GA 30214

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 Virginia Wilson's NPI number?

The NPI number for Virginia Wilson is 1629262936. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Virginia Wilson located?

Virginia Wilson practices at 480 Glynn St N, Fayetteville, GA 30214. The listed phone number is (866) 389-2727.

What is Virginia Wilson's specialty?

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

Does Virginia Wilson hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Virginia Wilson accept?

Health plans from CareSource list Virginia 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 Virginia Wilson was last updated on April 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.