ADAM WILSON MD, MPH
NPI 1639597875
Family Medicine in Atlanta, GA

Active since April 04, 2014PECOS EnrolledAccepts Medicare Assignment
93.24/100
CMS Quality Rating
4500 N SHALLOWFORD RD STE B, ATLANTA, GA 30338(404) 727-8843 Get Directions Write a Review

NPPES record last updated: August 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2017, Feb 15, 2016 (2 updates tracked since 2016).

About Adam Wilson Md, Mph NPPES

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

ADAM WILSON MD, MPH (NPI 1639597875) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (77222) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1639597875
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameADAM WILSONCredential: MD, MPH
Location Address4500 N SHALLOWFORD RD STE BAtlanta, GA 30338-6476
Mailing Address4500 N Shallowford RdDunwoody, GA 30338-6476 · (404) 727-8843
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 4, 2014
Last NPPES UpdateAugust 8, 20172 updates tracked since enumeration
NPI 1639597875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 77222
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4500 N SHALLOWFORD RD STE B, Atlanta, GA 30338

Accepted Insurance

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

Adam Wilson Md, Mph 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 ID9032414750
PECOS Enrollment IDI20191126002696
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
224 services132 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
208 services152 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
186 services132 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services55 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
58 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
44 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Charles A Cannon Jr Memorial Hospital

Critical Access Hospitals · Linville, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341323
Location434 Hospital DriveLinville, NC 28646 · Avery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30338 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

93.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims29 services$6.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$104.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Family Medicine
4500 N SHALLOWFORD RD STE B
ATLANTA, GA 30338
Family Medicine
4500 N SHALLOWFORD RD STE B
DUNWOODY, GA 30338
Student in an Organized Health Care Education/Training Program
4500 N SHALLOWFORD RD STE B
DUNWOODY, GA 30338

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 Adam Wilson's NPI number?

The NPI number for Adam Wilson is 1639597875. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Where is Adam Wilson located?

Adam Wilson practices at 4500 N Shallowford Rd Ste B, Atlanta, GA 30338. The listed phone number is (404) 727-8843.

What is Adam Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adam Wilson enrolled in Medicare?

Yes. Adam 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.

What insurance does Adam Wilson accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Adam 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.

Is Adam Wilson affiliated with any hospitals?

According to CMS data, Adam Wilson is affiliated with Watauga Medical Center and Charles A Cannon Jr Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Adam Wilson was last updated on August 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.