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

Dr. Nicole Edith Wilson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1073806956

Dr. Nicole Edith Wilson, DPM is a Podiatry in Douglas, Georgia. Graduated from Kent State University College of Podiatric Medicine in 2011, 15 years ago. Practices with Ankle and Foot Associates LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Trained at
Kent State University College of Podiatric Medicine
Licensed in
GA
In the registry since
2011
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

204 Westside Dr
Douglas, GA 31533-3528
Phone: (912) 384-4121
Fax: (912) 389-1817
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD001284 (GA)

Record details

NPI number1073806956
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 25, 2011
Last updated in NPPESFebruary 25, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2011 (15 years in practice)
Group practice Ankle And Foot Associates Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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