MARY WILSON (NPI# 1003471632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003471632 |
| Entity Type | Individual |
| Full Name | MARY WILSON |
| Practice Address |
11578 Highway 27 Summerville GA 30747-5873 |
| Mailing Address |
Po Box 308 Cartersville GA 30120-0308 |
| Practice Telephone | 7068575441 |
| Practice Fax Number | 7068577607 |
| Mailing Telephone | 7708802185 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
003040 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 Mize St, La Fayette, GA 307283346 | 7066385591 | 7066392055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152981 | Mary L Wilson | Technician | 2108 Camden Ave Ste A, Parkersburg, WV 26101-5676 | 2020-10-26 |
| 1699336222 | Mary Wilson | Counselor | 244 Washington Blvd Apt 3a, Oak Park, IL 60302-4147 | 2019-06-25 |
| 1730748906 | Mary Wilson | Registered Nurse | 1540 Lake Lansing Rd Ste G3, Lansing, MI 48912-3757 | 2019-06-11 |
| 1720580533 | Mary Ellen Wilson | Home Health Aide | 1219 Crystal St, Toledo, OH 43605-3806 | 2018-03-07 |
| 1386017283 | Mary Susan Wilson | Registered Nurse | 7175 Brills Lake Rd, Jackson, MI 49201-9691 | 2015-11-02 |
| 1831569755 | Mary Wilson | Social Worker | 915 Avenue B, Nederland, TX 77627-2902 | 2015-10-05 |
| 1376932707 | Mary Wilson | Case Manager/Care Coordinator | 119 Whispering Woods Ln, Alexandria, KY 41001-9226 | 2015-01-22 |
| 1144640087 | Mary Maningue Wilson | Home Health Aide | 9365 Steeple Ct, Laurel, MD 20723-5822 | 2014-04-18 |
| 1508176835 | Mary Lucinda Wilson | Counselor | 1536 Sunrise Plaza Dr Ste 100, Clermont, FL 34714-6204 | 2010-10-20 |
| 1538490776 | Mary Hayden Wilson | Counselor | 5828 Maria Del Mar St, Las Vegas, NV 89130-7299 | 2010-01-28 |
| Street Address |
11578 HIGHWAY 27 |
| City | SUMMERVILLE |
| State | GA |
| Zip Code | 30747-5873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861941668 | Stacey Hipps Page | Counselor | 11578 Highway 27, Summerville, GA 30747-5873 | 2016-09-22 |
| 1205489200 | Deborah E. Faulkner | Registered Nurse | 11578 Highway 27, Summerville, GA 30747-5873 | 2019-07-18 |
| 1427575174 | Jennifer Nicole Hudgins | Social Worker | 11578 Highway 27, Summerville, GA 30747-5873 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295162121 | Erin Marks Pledger | Counselor | 7563 Hwy. 337, Summerville, GA 30747 | 2013-10-10 |
| 1124377700 | Vickie Darlene Hice | Occupational Therapist | 1079 Brooks Road, Summerville, GA 30747 | 2012-08-29 |
| 1033479340 | Magdana Philossaint | Social Worker | 9991 Commerce St., Summerville, GA 30747 | 2012-05-21 |
| 1265667828 | Christina Douglass | Family Medicine | 11766 Hwy 27 North, Summerville, GA 30747 | 2009-05-26 |
| 1922118199 | Melissa June Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1871920710 | Tyler Wayne Pledger | Behavioral Analyst | 7563 Hwy. 337, Summerville, GA 30747 | 2013-10-10 |
| 1750506622 | Patrick A Parrino | Dentist | 19 Walnut Ave, Summerville, GA 30747 | 2007-04-16 |
| 1811007099 | Richard Dennis Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1942310107 | Richard Keith Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1336339076 | Summerville Chiropractic, Inc. | Chiropractor | 74 Highway 48, Summerville, GA 30747-0424 | 2007-07-30 |
| Find all providers in zip 30747 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280085 | Lisa Douglas | Counselor | 2060 Duck Rd, Summerville, PA 15864-6022 | 2020-06-19 |
| 1447885504 | Anna Flores Gibson | Counselor | 304 Mondo Ct, Summerville, SC 29486-8454 | 2020-03-10 |
| 1710535737 | Patsy Y Johnson I | Counselor | 110 Abbey Ln, Summerville, SC 29485-8007 | 2019-09-03 |
| 1649733700 | Lowcountry Therapy of Sc LLC | Counselor | 208 W 7th North St, Summerville, SC 29483-6621 | 2019-04-07 |
| 1801367263 | Shanelle Fields | Counselor | 222 Varnfield Dr, Summerville, SC 29483-7331 | 2018-12-11 |
| 1356870091 | Brooke Williams | Counselor | 210 Buttercup Ln, Summerville, SC 29486-2378 | 2017-06-07 |
| 1861941668 | Stacey Hipps Page | Counselor | 11578 Highway 27, Summerville, GA 30747-5873 | 2016-09-22 |
| 1356754311 | Carol S Conway | Counselor | 112 Paladin Dr, Summerville, SC 29485-4129 | 2014-06-07 |
| 1790030674 | Deborah S Farris | Counselor | 777 Back Penn Rd, Summerville, GA 30747-5961 | 2012-07-17 |
| 1730492885 | Selena Wilson | Counselor | 134 Heather Dr, Summerville, SC 29483-1795 | 2010-07-19 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 30747 |
Please comment or provide details below to improve the information on MARY WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.