Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Samantha Castillo Wilson, PA-C

Individual provider Medical Physician Assistant · NPI 1992282024

Mrs. Samantha Castillo Wilson, PA-C is a Physician Assistant in Gainesville, Georgia. Qualified in 2018, 8 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1292 Athens St
Gainesville, GA 30507-7000
Phone: (770) 219-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2350 Limestone Pkwy, Gainesville, GA 30501-2013 — (470) 208-3837

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 8856 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 8856 (GA)

Record details

NPI number1992282024
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 21, 2018
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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