Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003132754 Individual Practitioner Male Practitioner

Dr. Mark Davis Wilson , MD

Pediatrics • Tifton, GA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Wilson, MD is a registered healthcare professional specializing in Pediatrics in Tifton, GA. Practice services are available at 215 12TH ST W under active NPI credentials.

Frequently performed procedures and clinical services include detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

215 12th St W

Tifton, GA 317943923

Telephone 2293965335
Fax 2293965330
Associated Practice Facility / Clinic
🏢 Tiftarea Pediatrics Facility NPI 1154081271

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tifton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Tifton, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
29.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
21 21 $50.00 $35.33

Medical Specialties & State Licenses

CMS Verified: 2022-10-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 069737

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
69737 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Elizabeth Wilson , PNP

Nurse Practitioner - Pediatrics

NPI 1093080541

Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location October 19, 2022

Registered at 215 12TH ST W, TIFTON, GA 317943923 (Tel: 2293965335)

📍
Updated Business Mailing Address October 19, 2022

Registered at 215 12TH ST W, TIFTON, GA 317943923 (Tel: 2293965335)

📍
Updated Practice Location May 20, 2019

Registered at 1909 US HIGHWAY 82 W STE 3&4, TIFTON, GA 31793 (Tel: 2294453509)

📍
Updated Business Mailing Address May 20, 2019

Registered at PO BOX 5610, CORDELE, GA 310105610

NPI Profile Active November 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2017

Registered at 155 PROFESSIONAL DR, BALDWIN, GA 305114000 (Tel: 7067762368)

📍
Updated Business Mailing Address November 17, 2017

Registered at PO BOX 658, GAINESVILLE, GA 305030658 (Tel: 7705336511)

👤
Provider Name / Credentials Updated November 17, 2017

Recorded as MARK WILSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2017

Pediatrics (License #069737 in GA)

NPI Profile Active November 18, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 18, 2014

Registered at 39 KENT RD, SUITE 5, TIFTON, GA 317941698 (Tel: 2293537337)

📍
Updated Business Mailing Address November 18, 2014

Registered at 907 18TH ST E, SUITE 150, TIFTON, GA 317943643 (Tel: 2293537337)

👤
Provider Name / Credentials Updated November 18, 2014

Recorded as MARK WILSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2014

Pediatrics (License #069737 in GA)

🟢
Initial NPI Registration & Enumeration April 19, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003132754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2010
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

215 12th St W

Tifton, GA 317943923

Phone: 2293965335

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.