DR. NICOLE EDITH WILSON D.P.M. NPI 1073806956

NPI Information

  • NPI: 1073806956
  • Provider Name: DR. NICOLE EDITH WILSON, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 204 WESTSIDE DR
    DOUGLAS, GA
    ZIP 31533
  • Phone: (912) 384-4121

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NPI Details

DR. Nicole Edith Wilson, D.P.M. is a foot and ankle surgery podiatrist in Douglas, GA with 15 years of experience. DR. Nicole Edith Wilson, D.P.M. NPI is 1073806956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2011

The provider's business location address is:

204 WESTSIDE DR
DOUGLAS, GA
ZIP 31533-528
Phone: (912) 384-4121
Fax: (912) 389-1817

The NPI 1073806956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Detection test by nucleic acid for mycobacteria species (bacteria), amplified probe technique (HCPCS:87551)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique (HCPCS:87640)
  • Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique (HCPCS:87651)
  • Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique (HCPCS:87653)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Biopsy of fingernail or toenail (HCPCS:11755)
  • Strapping, unna boot (HCPCS:29580)
  • Complete ultrasound scan of joint (HCPCS:76881)
  • Permanent removal fingernail or toenail (HCPCS:11750)

The enumeration date for this NPI number is 5/25/2011 and was last updated on 2/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryPOD001284GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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