Mrs Laura Renae Wilson, MSN, APRN-BC - Nurse Practitioner in Stone Mountain, GA

Mrs Laura Renae Wilson, MSN, APRN-BC is a Nurse Practitioner - Primary Care based in Stone Mountain, Georgia. Mrs Laura Renae Wilson is licensed to practice in Georgia (license number RN247115) and her current practice location is 5405 Memorial Dr Ste D, Stone Mountain, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 296-3800.

NPI number for Mrs Laura Renae Wilson is 1104032218 and her current mailing address is 5405 Memorial Dr Ste D, Stone Mountain, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104032218.

Contact Information

Mrs Laura Renae Wilson, MSN, APRN-BC
5405 Memorial Dr Ste D,
Stone Mountain, GA 30083-3236
(404) 296-3800
(404) 297-8753

Map and Direction




Provider's Profile

Full NameMrs Laura Renae Wilson
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location5405 Memorial Dr Ste D, Stone Mountain, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104032218
  • Provider Enumeration Date: 05/15/2007
  • Last Update Date: 03/06/2019

Medical Identifiers

Medical identifiers for Mrs Laura Renae Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104032218NPI-NPPES
1821185299OtherTXNPI - BVCAA
1275620551OtherTXNPI - ROBERTSON COUNTY CHC
154467803MedicaidTX
1649265646OtherTXNPI- BRYAN- COLLEGE STATION CHC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 004365 (Connecticut)Secondary
363LF0000XNurse Practitioner - Family 701633 (Texas)Secondary
363LP2300XNurse Practitioner - Primary Care RN247115 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Laura Renae Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Laura Renae Wilson, MSN, APRN-BC
5405 Memorial Dr Ste D,
Stone Mountain, GA 30083-3236

Ph: (404) 296-3800
Mrs Laura Renae Wilson, MSN, APRN-BC
5405 Memorial Dr Ste D,
Stone Mountain, GA 30083-3236

Ph: (404) 296-3800

Reviews and Comments


Nurse Practitioner Nurses in Stone Mountain, GA

Mrs. Sherly John,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4958 Memorial Dr, Stone Mountain, GA 30083
Phone: 404-809-2408    
Wendy Woodward Schaal, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083
Phone: 404-508-6499    
Roneshia Michelle Rudolph-meadows, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083
Phone: 770-322-6161    Fax: 770-322-6191
Julie Noelle Knisely, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083
Phone: 404-298-8998    
Pauline Kpannah,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4952 Green Bark Cir E, Stone Mountain, GA 30083
Phone: 678-396-0843    
Nikeisha Clevia Oliver,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1227 Rockbridge Rd, Stone Mountain, GA 30087
Phone: 770-413-1476    
Andrea Zmaj, MSN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083
Phone: 770-322-6161    

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