MISS CYNTHEA MARIE WILSON APN
NPI 1700116480
Nurse Practitioner - Acute Care in Athens, GA

Active since January 02, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1199 PRINCE AVE, ATHENS, GA 30606(706) 475-5076 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Cynthea Marie Wilson Apn NPPES

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

MISS CYNTHEA MARIE WILSON APN (NPI 1700116480) is an individual acute care provider in Athens, Georgia, licensed in Georgia (RN164618) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of Emory University School Of Medicine (2009).

NPPES Registry Identity

NPI1700116480
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMISS CYNTHEA MARIE WILSONCredential: APN
Location Address1199 PRINCE AVEAthens, GA 30606-2797
Mailing Address2727 Paces Ferry Rd Se Ste 1-1100Atlanta, GA 30339-6151 · (470) 271-3418
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2009
Enumeration DateJanuary 2, 2010
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1700116480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN164618
1199 PRINCE AVE, Athens, GA 30606

Accepted Insurance

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

Miss Cynthea Marie Wilson Apn 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 ID4183892532
PECOS Enrollment IDI20110729000444
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 Reassignments

4

Medicare enrollment records show Cynthea Wilson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 140 clinicians in this Medicare group
Gastroenterology
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 162 clinicians in this Medicare group
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group
Gastroenterology
550 PEACHTREE ST NE STE 1600
Atlanta, GA 30308
  • Reassigned Medicare billing, Georgia enrollment
  • 190 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services53 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services33 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

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 30606 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$50.78 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$21.72 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 20

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

Neurological Surgery
1199 PRINCE AVE
ATHENS, GA 30606
Hospitalist
1199 PRINCE AVE
ATHENS, GA 30606
Nurse Anesthetist, Certified Registered
1199 PRINCE AVE
ATHENS, GA 30606
Physician Assistant
1199 PRINCE AVE
ATHENS, GA 30606
Anesthesiology
1199 PRINCE AVE
ATHENS, GA 30606
Anesthesiologist Assistant
1199 PRINCE AVE
ATHENS, GA 30606
Specialist/Technologist, Other (Surgical Assistant)
1199 PRINCE AVE
ATHENS, GA 30606
Internal Medicine (Cardiovascular Disease)
1199 PRINCE AVE
ATHENS, GA 30606

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 Cynthea Wilson's NPI number?

The NPI number for Cynthea Wilson is 1700116480. It was assigned to this individual provider in the NPPES registry on January 2, 2010.

Where is Cynthea Wilson located?

Cynthea Wilson practices at 1199 Prince Ave, Athens, GA 30606. The listed phone number is (706) 475-5076.

What is Cynthea Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Cynthea Wilson enrolled in Medicare?

Yes. Cynthea 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.

Which organizations bill Medicare for Cynthea Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthea Wilson reassigns Medicare benefits to 4 organizations: Piedmont Athens Specialty Care LLC (Athens, GA), Aga Professional Services, LLC (Atlanta, GA), Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA) and Aga, LLC (Atlanta, GA). Each 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 Cynthea Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthea Wilson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Cynthea 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 Cynthea Wilson affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Cynthea Wilson was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.