Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jerry Dewayne Wilson, PA-C

Q: What is the NPI number for Jerry Wilson?

The National Provider Identifier (NPI) for Jerry Wilson is 1619153210, a Type 1 (individual) record in the CMS NPPES registry.

Medical Physician Assistant in Tucker, GA · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619153210

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Registry record

Entity type Individual (Type 1)

Name Jerry Dewayne Wilson

Credential PA-C

Sex Male

Practice address Tucker, GA, 30084

Phone (678) 632-4003

Fax (678) 681-1305

Enumeration date Jan 14, 2008

Last updated in NPPES Dec 6, 2010

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 003052 (GA) Primary

Other identifiers

Identifier	Type	State	Issuer
308036587A	Medicaid	GA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jerry Wilson?

The National Provider Identifier (NPI) for Jerry Wilson is 1619153210, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jerry Wilson practice?

The practice location on file with NPPES is in Tucker, GA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-12-06.