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

Mark Davis Wilson, MD

Individual provider Pediatrics Physician · NPI 1003132754

Mark Davis Wilson, MD is a Pediatrics Physician in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

215 12th St W
Tifton, GA 31794-3923
Phone: (229) 396-5335
Fax: (229) 396-5330
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 069737 (GA)

Record details

NPI number1003132754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2010
Last updated in NPPESMarch 7, 2023
Certification dateOctober 19, 2022
Mailing address215 12th St W, Tifton, GA 31794-3923

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