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

Russell Andrew Wilson, MD

Individual provider Surgery Physician · NPI 1427057736

Russell Andrew Wilson, MD is a General Surgery in Fayetteville, Georgia. Graduated from University of Texas Southwestern Medical School at Dallas in 1991, 35 years ago. Practices with Piedmont Specialty Hospital Billing LLC, a 249-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
35
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1265 Highway 54 W Ste 500B
Fayetteville, GA 30214-4556
Phone: (770) 719-5660
Fax: (678) 336-5955
Show map & directions

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

Additional practice locations (1)

  • 2401 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2409 — (770) 400-7850

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 040590 (GA)

Record details

NPI number1427057736
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 1991 (35 years in practice)
Group practice Piedmont Specialty Hospital Billing Llc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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