Annissa Annette Wilson, FNP-C - Medicare Nurse Practitioner in Buford, GA

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Annissa Annette Wilson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Buford, Georgia. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Theoria Medical, Complexcare Medical Group Southeast H Pllc and her current practice location is 2805 Hamilton Mill Rd, Buford, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 541-0588.

Annissa Annette Wilson is licensed to practice in Georgia (license number RN177871) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811373194.

Contact Information

Annissa Annette Wilson, FNP-C
2805 Hamilton Mill Rd,
Buford, GA 30519-4110
(678) 541-0588
(678) 541-0610

Map and Direction




Provider's Profile

Full NameAnnissa Annette Wilson
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location2805 Hamilton Mill Rd, Buford, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Annissa Annette Wilson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1811373194
  • Provider Enumeration Date: 08/10/2015
  • Last Update Date: 06/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4688967995
  • Enrollment ID: I20160725001621

Medical Identifiers

Medical identifiers for Annissa Annette Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811373194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN177871 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Theoria Medical5395098339317
Complexcare Medical Group Southeast H Pllc983069399312

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Annissa Annette Wilson allows following entities to bill medicare on her behalf.
Entity NameChronic Disease Management of Georgia LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699300939
PECOS PAC ID: 7618306721
Enrollment ID: O20200409003695
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20230105001168
Entity NameGeorgia Mso LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952196164
PECOS PAC ID: 3173041639
Enrollment ID: O20250519001080
Entity NameComplexcare Medical Group Southeast H PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083508238
PECOS PAC ID: 9830693993
Enrollment ID: O20250927000363

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. Annissa Annette Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Annissa Annette Wilson, FNP-C
Po Box 529,
Royston, GA 30662-0529

Ph: (706) 363-9229		Annissa Annette Wilson, FNP-C
2805 Hamilton Mill Rd,
Buford, GA 30519-4110

Ph: (678) 541-0588

Reviews and Comments


Nurse Practitioner Nurses in Buford, GA

Anna A Londy, CNP
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Amy Willis Pitts, FNP
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Phone: 770-848-9240    
Mrs. Roghieh Beigom Kazeroonian, NP
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Practice Location: 2721 Buford Hwy, Buford, GA 30518
Phone: 770-945-4800    
Mr. Angel Rigal, PMHNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 3313 Harmon Ridge Ct, Buford, GA 30519
Phone: 786-259-3132    
Dr. Bunmi Yemisi Folarinde, PHD, APRN, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3616 S Bogan Rd Ste 202, Buford, GA 30519
Phone: 404-333-7652    
Mrs. Sophia Evette Jackson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1950 Buford Hwy, Cvs Caremark Minute Clinic, Buford, GA 30518
Phone: 770-945-7286    
Coyette Annisee Telemaque, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3331 Hamilton Mill Rd Ste 1102, Buford, GA 30519
Phone: 678-541-0588    Fax: 678-541-0610

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.