Ikeisha Wilson
Homemaker in Thomson, GA. Individual provider (NPI-1).
NPI number1245189463
StatusActive
Last updated in NPPESJan 22, 2026
Details
- NPI
- 1245189463
- Entity type
- Individual (NPI-1)
- Name
- Ikeisha Wilson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2026
- Certification date
- Jan 22, 2026
- Last updated
- Jan 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
654 Main St Ste 7Thomson, GA 30824-7425
Phone 706-710-2855 · Fax 706-710-8802
Mailing address
654 Main St Ste 7Thomson, GA 30824-7425
Phone 706-710-2855 · Fax 706-710-8802
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.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.