TAKEYAH WILSON PMHNP
NPI 1871475814
Nurse Practitioner - Psychiatric/Mental Health in Griffin, GA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Takeyah Wilson Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Takeyah Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Griffin, GA 30223
- Reassigned Medicare billing, Georgia enrollment
- 49 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 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.
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.
GRIFFIN, GA 30224
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 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.
Where is Takeyah Wilson located?
Takeyah Wilson practices at 1209 Greenbelt Dr, Griffin, GA 30224. The listed phone number is (478) 321-5894.
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.
Is Takeyah Wilson enrolled in Medicare?
Yes. Takeyah Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Takeyah Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Takeyah Wilson reassigns Medicare benefits to Mcintosh Trail Community Service Board (Griffin, 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 Takeyah Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Takeyah Wilson accept?
Health plans from Oscar Health list Takeyah 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.
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 15 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.
# Takeyah Wilson, PMHNP · NPI 1871475814
Psychiatric/Mental Health physician in Griffin, Georgia. Individual provider, active in the CMS NPPES registry since July 22, 2025.
## Identity
- **NPI:** 1871475814 (Entity type: Individual)
- **Enumerated:** July 22, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN302915 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1209 GREENBELT DR, Griffin, GA 30224-4507
- **Phone:** (478) 321-5894
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mcintosh Trail Community Service Board (NPI 1386708212, Griffin, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871475814) · Data from the CMS NPPES public registry.