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MRS. SAMANTHA CASTILLO WILSON PA-C
NPI 1992282024
Physician Assistant - Medical in Gainesville, GA

Active since July 21, 2018PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
1292 ATHENS ST, GAINESVILLE, GA 30507(770) 219-9400 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2021, Jul 13, 2021, Jul 21, 2018 (3 updates tracked since 2018).

About Mrs. Samantha Castillo Wilson Pa-c NPPES

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

MRS. SAMANTHA CASTILLO WILSON PA-C (NPI 1992282024) is an individual medical provider in Gainesville, Georgia, licensed in Georgia (8856) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1992282024
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. SAMANTHA CASTILLO WILSONCredential: PA-C
Location Address1292 ATHENS STGainesville, GA 30507-7000
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 219-9400
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 21, 2018
Last NPPES UpdateJuly 29, 20213 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1992282024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 8856
Also ListedPhysician AssistantTaxonomy 363A00000X · License 8856 (GA)
1292 ATHENS ST, Gainesville, GA 30507
Open in Google Maps ↗

Secondary Practice Location 1

Location 12350 Limestone PkwyGainesville, GA 30501-2013 · Phone (470) 208-3837

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Samantha Castillo Wilson Pa-c 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 ID7214330802
PECOS Enrollment IDI20210720001654
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 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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services20 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
21 services14 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 3

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

BABETTE MARIE IRIZARRY MD
Family Medicine
1292 ATHENS ST
GAINESVILLE, GA 30507
Hall County (770) 219-9400
MS. DORIS M WEAVER APRN, BC
Nurse Practitioner (Family)
1292 ATHENS ST
GAINESVILLE, GA 30507
Hall County (770) 531-5654
DAVID M. BLOMERT M.D.
Family Medicine
1292 ATHENS ST
GAINESVILLE, GA 30507
Hall County (770) 531-5654

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 Samantha Wilson's NPI number?

The NPI number for Samantha Wilson is 1992282024. It was assigned to this individual provider in the NPPES registry on July 21, 2018.

Where is Samantha Wilson located?

Samantha Wilson practices at 1292 Athens St, Gainesville, GA 30507. The listed phone number is (770) 219-9400.

What is Samantha Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Samantha Wilson enrolled in Medicare?

Yes. Samantha 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.

Is Samantha Wilson affiliated with any hospitals?

According to CMS data, Samantha Wilson is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Samantha Wilson was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.