CRAIG MICHAEL WILKINSON MD
NPI 1720026594
Radiology - Radiation Oncology in Hawkinsville, GA

NPI Status: Active since June 03, 2006

Contact Information

214 PERRY HWY
HAWKINSVILLE, GA
ZIP 31036
Phone: (478) 892-8585
Fax: (478) 892-8528

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  • Individual
  • Male
  • Radiology
  • Radiation Oncology
  • PECOS Enrolled

About CRAIG WILKINSON

This page provides the complete NPI Profile along with additional information for Craig Wilkinson, a provider established in Hawkinsville, Georgia with a medical specialization in Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1720026594 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0001X with license number 056506 (GA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1720026594
Provider Name
CRAIG MICHAEL WILKINSON MD
Gender
Male
Entity Type
Individual
Location Address
214 PERRY HWY HAWKINSVILLE, GA 31036
Location Phone
(478) 892-8585
Location Fax
(478) 892-8528
Mailing Address
3330 PRESTON RIDGE RD STE 300 ALPHARETTA, GA 30005
Mailing Phone
(770) 255-7423
Mailing Fax
(478) 892-8528
Is Sole Proprietor?
No
Enumeration Date
06-03-2006
Last Update Date
11-08-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
License No.
056506
License State
GA
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
I37564MEDICARE UPIN (02)GA 
577795376GMEDICAID (05)GA 
92BBGBWOTHER (01)GAMEDICARE PROVIDER ID
577795376KMEDICAID (05)GA 
577795376IMEDICAID (05)GA 
577795376HMEDICAID (05)GA 
577795376JMEDICAID (05)GA 
577795376FMEDICAID (05)GA 

Medicare Participation & PECOS Enrollment Status

Craig Wilkinson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complex radiation therapy planning

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

This service was performed 11 times for 11 patients

Continuing radiation therapy consultation per week

Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.

This service was performed 49 times for 13 patients

Design and construction of complex radiation treatment device

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

This service was performed 38 times for 12 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 14 times for 13 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 11 times for 11 patients

Radiation treatment management, 5 treatment sessions

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

This service was performed 47 times for 13 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 31036 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $164.04
  • Minimum New Patient Price $53.31
  • Maximum New Patient Price $164.04
  • Average New Patient Copayment $41.01
  • Minimum New Patient Copayment $13.32
  • Maximum New Patient Copayment $41.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.89
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $133.24
  • Average Established Patient Copayment $16.72
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $33.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720026594
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27400212518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 2 + 1 + 2 + 5 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1720026594 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447501515NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC
Organization
Durable Medical Equipment & Medical Supplies214 PERRY HWY CANCER TREATMENT CENTER
HAWKINSVILLE, GA 31036
(478) 783-4022
1689628075MIDDLE GEORGIA RADIATION PARTNERS, LP
Organization
Specialist214 PERRY HWY
HAWKINSVILLE, GA 31036
(478) 892-8585
1508254061AMERICAN PROFESSIONAL ASSOCIATES LLC
Organization
Specialist214 PERRY HWY
HAWKINSVILLE, GA 31036
(478) 892-8585
1699245860 NATALIE FLOYD NP
Individual
Nurse Practitioner214 PERRY HWY
HAWKINSVILLE, GA 31036
(478) 783-4022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720026594, enumerated in the NPI registry as an "individual" on June 03, 2006

The provider is located at 214 Perry Hwy Hawkinsville, Ga 31036 and the phone number is (478) 892-8585

The provider's speciality is Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $164.04 with an average copayment of $41.01 for new patient appointments. Established patients should expect a typical charge of $66.89 and an average copayment of 16.72. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Complex radiation therapy planning, Continuing radiation therapy consultation per week, Design and construction of complex radiation treatment device, Established patient office or other outpatient visit, 20-29 minutes, New patient office or other outpatient visit, 45-59 minutes and Radiation treatment management, 5 treatment sessions.

This NPI record was last updated on June 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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