Search › Georgia › 363LF0000X
Jerrod Wilson, FNP
NPI 1871190983 · on the registry since 2020
Practice
- Address
- 101 Quartz Dr Ste 101
Villa Rica, GA 30180 - Phone
- (770) 836-9445
- Fax
- (770) 836-8808
- Organisation at this address
- Tmc Immediate Care, Inc
Tanner Medical Center, Inc.
Tmc-Behavioral Health Of West Georgia
Tmc West Georgia Behavioral Health IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Additional practice sites
- 1480 S Highway 27, Carrollton, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- GA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia