Georgia Jessica Wilson, MD
Student in an Organized Health Care Education/Training Program in Chattanooga, TN. Individual provider (NPI-1).
Details
- NPI
- 1013761204
- Entity type
- Individual (NPI-1)
- Name
- Georgia Jessica Wilson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2024
- Certification date
- Apr 14, 2024
- Last updated
- Apr 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | TN | Yes |
Practice location
975 E 3rd StChattanooga, TN 37403-2173
Phone 423-778-7628
Mailing address
975 E 3rd StChattanooga, TN 37403-2173
Phone 423-778-7628
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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