| Jerry Dewayne Wilson, PA-C | |
|
4500 Hugh Howell Rd, Suite, Tucker, GA 30084-4723 | |
| (678) 632-4003 | |
| (678) 681-1305 |
| Full Name | Jerry Dewayne Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 4500 Hugh Howell Rd, Tucker, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619153210 | NPI | - | NPPES |
| 308036587A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 003052 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Hillandale Hospital | Lithonia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Specialty Associates, Llc | 3476559782 | 435 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Dewayne Wilson, PA-C Po Box 360550, Decatur, GA 30036-0550 Ph: (678) 632-4003 | Jerry Dewayne Wilson, PA-C 4500 Hugh Howell Rd, Suite, Tucker, GA 30084-4723 Ph: (678) 632-4003 |
Michael L Werner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1491 Montreal Rd, Tucker, GA 30084 Phone: 770-270-1284 | |
Elissa Ann Stanton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3987 Brown Rd, Tucker, GA 30084 Phone: 770-689-8936 | |
Marissa Weiching Goolsby, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4650 Hugh Howell Rd Ste 510, Tucker, GA 30084 Phone: 678-956-8630 Fax: 678-956-8634 | |
Britney Jane Yates, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4865 Lavista Rd Ste A, Tucker, GA 30084 Phone: 770-442-1911 | |
Ms. Ashley Nicole Boachie-adjei, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1459 Montreal Rd, Tucker, GA 30084 Phone: 404-778-3347 | |
Hong Feng Shi, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3939 Lavista Rd Ste E110, Tucker, GA 30084 Phone: 404-683-8757 Fax: 678-683-8757 | |
Monica Jean Conner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1459 Montreal Rd Ste 305, Tucker, GA 30084 Phone: 404-778-3350 |