ANGELA RENEE WILSON
NPI 1750048658
Physical Therapist in Gainesville, GA

Active since November 26, 2021Accepts Medicare Assignment
1012 ENOTA DRIVE NE, GAINESVILLE, GA 30501(770) 287-0714 Get Directions Write a Review

NPPES record last updated: November 26, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Angela Renee Wilson NPPES

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

ANGELA RENEE WILSON (NPI 1750048658) is an individual physical therapist in Gainesville, Georgia, licensed in Georgia (PT006712) and active in the NPI registry since November 2021. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1750048658
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameANGELA RENEE WILSON
Location Address1012 ENOTA DRIVE NEGainesville, GA 30501
Mailing Address4215 Green Summers DrCumming, GA 30028-8115 · (678) 860-5050
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 26, 2021
NPPES CertifiedNovember 14, 2021
✔ NPI 1750048658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in GA · PT006712
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1012 ENOTA DRIVE NE, Gainesville, GA 30501

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

Angela Renee Wilson 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 ID4688020282
PECOS Enrollment IDI20231101003024

Medicare Billing Reassignment

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

Physical Therapist
3769 KALLIE CIR
Dawsonville, GA 30534
  • Reassigned Medicare billing, Georgia enrollment
  • Also billed through NPI 1831619337 (Georgia)
  • 82 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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.

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 Angela Wilson's NPI number?

The NPI number for Angela Wilson is 1750048658. It was assigned to this individual provider in the NPPES registry on November 26, 2021.

Where is Angela Wilson located?

Angela Wilson practices at 1012 Enota Drive NE, Gainesville, GA 30501. The listed phone number is (770) 287-0714.

What is Angela Wilson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Angela Wilson enrolled in Medicare?

Yes. Angela 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 organization bills Medicare for Angela Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Wilson reassigns Medicare benefits to Legacy Healthcare Services, Inc. (Dawsonville, 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 Angela Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angela Wilson was last updated on November 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.