MR. SAMORY WILSON RN
NPI 1649632100
Registered Nurse in Carrollton, GA

Active since March 24, 2016
153 INDEPENDENCE DR, CARROLLTON, GA 30116(770) 836-6678 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Samory Wilson Rn NPPES

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

MR. SAMORY WILSON RN (NPI 1649632100) is an individual registered nurse in Carrollton, Georgia, licensed in Georgia (RN223145) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1649632100
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameMR. SAMORY WILSONCredential: RN
Location Address153 INDEPENDENCE DRCarrollton, GA 30116-9000
Mailing Address8610 Wood Springs CtDouglasville, GA 30135-1685 · (678) 386-3713
Sole ProprietorYes
Enumeration DateMarch 24, 2016
NPI 1649632100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in GA · RN223145
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
153 INDEPENDENCE DR, Carrollton, GA 30116

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.

Behavior Technician
153 INDEPENDENCE DR
CARROLLTON, GA 30116
Licensed Practical Nurse
153 INDEPENDENCE DR
CARROLLTON, GA 30116
Counselor (Mental Health)
153 INDEPENDENCE DR
CARROLLTON, GA 30116
Counselor (Mental Health)
153 INDEPENDENCE DR
CARROLLTON, GA 30116
Counselor
153 INDEPENDENCE DR
CARROLLTON, GA 30116
Social Worker
153 INDEPENDENCE DR
CARROLLTON, GA 30116
Peer Specialist
153 INDEPENDENCE DR
CARROLLTON, GA 30116
Social Worker (Clinical)
153 INDEPENDENCE DR
CARROLLTON, GA 30116

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 Samory Wilson's NPI number?

The NPI number for Samory Wilson is 1649632100. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Samory Wilson located?

Samory Wilson practices at 153 Independence Dr, Carrollton, GA 30116. The listed phone number is (770) 836-6678.

What is Samory Wilson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Samory Wilson was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.