JERROD JONATHAN WILSON FNP
NPI 1871190983
Nurse Practitioner - Family in Villa Rica, GA

Q: What is Jerrod Wilson's NPI number?

The NPI number for Jerrod Wilson is 1871190983. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Q: What is Jerrod Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerrod Wilson was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 02, 2020PECOS Enrolled

100/100

CMS Quality Rating

101 QUARTZ DR STE 101, VILLA RICA, GA 30180(770) 836-9445(770) 836-8808 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2025, Nov 10, 2021, Oct 9, 2020 and 1 more (4 updates tracked since 2020).

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About Jerrod Jonathan Wilson Fnp NPPES

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

JERROD JONATHAN WILSON FNP (NPI 1871190983) is an individual family provider in Villa Rica, Georgia, licensed in Georgia (APRN-NP326207) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and maintains a secondary practice location in Carrollton.

NPPES Registry Identity

NPI1871190983

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJERROD JONATHAN WILSONCredential: FNP

Location Address101 QUARTZ DR STE 101Villa Rica, GA 30180-3256

Mailing Address101 Quartz Dr Ste 101Villa Rica, GA 30180-3256 · (770) 836-9445 · Fax (770) 836-8808

Phone(770) 836-9445

Fax(770) 836-8808

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 2, 2020

Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1871190983 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

Licenses✔ Licensed in GA · APRN-NP326207✔ Licensed in IN · 28262360A

101 QUARTZ DR STE 101, Villa Rica, GA 30180

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Secondary Practice Location 1

Location 11480 S Highway 27Carrollton, GA 30117-8901 · Phone (770) 836-9445 · Fax (770) 836-8808

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerrod Jonathan Wilson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173937869

PECOS Enrollment IDI20240129000307

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

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

38 services21 patients

Hospital Affiliations CMS Care Compare

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110011

Location705 Dixie StreetCarrollton, GA 30117 · Carroll County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 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 Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 5

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

MRS. JENNIFER YVONNE FORD NP

Nurse Practitioner