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

Jerry Dewayne Wilson, PA-C

Individual provider Medical Physician Assistant · NPI 1619153210

Jerry Dewayne Wilson, PA-C is a Physician Assistant in Tucker, Georgia. Qualified in 1997, 29 years ago. Practices with Emory Specialty Associates, LLC, a 694-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
29
Licensed in
GA
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4500 Hugh Howell Rd Ste
Tucker, GA 30084-4723
Phone: (678) 632-4003
Fax: (678) 681-1305
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 003052 (GA)

Record details

NPI number1619153210
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 14, 2008
Last updated in NPPESDecember 6, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Emory Specialty Associates, Llc — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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