Wilson'S Wellness Clinical Care, LLC
NPI 1073041166 · Primary Care Clinic/Center · Stone Mountain, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wilson'S Wellness Clinical Care, LLC is a Primary Care Clinic/Center organization in Stone Mountain, GA (NPI 1073041166).
Provider details
- NPI number
- 1073041166
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dana Wilson, Owner/Manager(404) 981-3936
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-01
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Frequently asked questions
- What is Wilson'S Wellness Clinical Care, LLC's NPI number?
- Wilson'S Wellness Clinical Care, LLC's National Provider Identifier (NPI) is 1073041166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wilson'S Wellness Clinical Care, LLC?
- Wilson'S Wellness Clinical Care, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wilson'S Wellness Clinical Care, LLC located?
- Wilson'S Wellness Clinical Care, LLC's practice location on file with NPPES is 1310 Rockbridge Rd Ste F, Stone Mountain, GA 30087-3163.
- What is Wilson'S Wellness Clinical Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wilson'S Wellness Clinical Care, LLC is (770) 864-5538.
- Does Wilson'S Wellness Clinical Care, LLC accept Medicare?
- Wilson'S Wellness Clinical Care, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wilson'S Wellness Clinical Care, LLC?
- The authorized official listed on Wilson'S Wellness Clinical Care, LLC's NPPES record is Dana Wilson, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wilson'S Wellness Clinical Care, LLC's NPI active?
- Yes — Wilson'S Wellness Clinical Care, LLC's NPI (1073041166) is active in the NPPES registry as of the last update on 2025-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.