TAKEYAH WILSON PMHNP
NPI 1871475814
Nurse Practitioner - Psychiatric/Mental Health in Griffin, GA

Q: What is Takeyah Wilson's NPI number?

The NPI number for Takeyah Wilson is 1871475814. It was assigned to this individual provider in the NPPES registry on July 22, 2025.

Q: What is Takeyah Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Takeyah Wilson was last updated on July 28, 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.

Active since July 22, 2025PECOS Enrolled

1209 GREENBELT DR, GRIFFIN, GA 30224(478) 321-5894 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Takeyah Wilson Pmhnp NPPES

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

TAKEYAH WILSON PMHNP (NPI 1871475814) is an individual psychiatric/mental health provider in Griffin, Georgia, licensed in Georgia (RN302915) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1871475814

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTAKEYAH WILSONCredential: PMHNP

Location Address1209 GREENBELT DRGriffin, GA 30224-4507

Mailing Address1209 Greenbelt DrGriffin, GA 30224-4507 · (478) 321-5894

Phone(478) 321-5894

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 22, 2025

Last NPPES UpdateJuly 28, 2025

NPPES CertifiedJuly 28, 2025

✔ NPI 1871475814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN302915

1209 GREENBELT DR, Griffin, GA 30224

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Takeyah Wilson Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143711234

PECOS Enrollment IDI20251117003127

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30224 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.

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.

MARIAN COLE RN

Registered Nurse