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

Katelyn Stahl Wilson, CAA

Individual provider Anesthesiologist Assistant · NPI 1164965349

Katelyn Stahl Wilson, CAA is an Anesthesiology Assistant in Marietta, Georgia. Qualified in 2016, 10 years ago. Practices with Trident Anesthesia Group LLC, a 119-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
10
Licensed in
GA, SC
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

677 Church St NE
Marietta, GA 30060
Phone: (770) 794-0477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 303 Parkway Dr Ne, Atlanta, GA 30312-1212 — (843) 343-3557
  • 8954 Hospital Dr, Douglasville, GA 30134-2272 — (770) 794-0477
  • 146 Bill Carruth Pkwy, Hiram, GA 30141-3749 — (770) 794-0477
  • 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 — (843) 402-1436

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 8217 (GA)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 92 (SC)

Record details

NPI number1164965349
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAA
Sole proprietorNo
NPI enumeratedNovember 21, 2016
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Trident Anesthesia Group Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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