Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Byrd Wilson, CCACII

Individual provider Community Health Worker · NPI 1306656285

Angela Byrd Wilson, CCACII is a Community Health Worker in Atlanta, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

5680 Fulton Industrial Blvd SW
Atlanta, GA 30336-2659
Phone: (404) 484-9640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7263 Bluestone Dr, Riverdale, GA 30296-1513 — (404) 484-9640

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 87881 (GA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1306656285
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCACII
Sole proprietorYes
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 9, 2025

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