Kerri L Wiley, NP-C | |
12192 Augusta Road, Lavonia, GA 30553-1209 | |
(706) 356-1072 | |
(706) 356-1457 |
Full Name | Kerri L Wiley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 12192 Augusta Road, Lavonia, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447565668 | NPI | - | NPPES |
669649351A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 192545 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Remedy Behavioral Health Llc | 3375958853 | 25 |
Remedy Behavioral Health Llc | 3375958853 | 25 |
Entity Name | Shoals Np Homecare, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083178818 PECOS PAC ID: 1850631888 Enrollment ID: O20190328002646 |
Entity Name | Russellville Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761 |
Entity Name | Remedy Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013517317 PECOS PAC ID: 3375958853 Enrollment ID: O20210318001511 |
Mailing Address | Practice Location Address |
---|---|
Kerri L Wiley, NP-C 12192 Augusta Road, Lavonia, GA 30553-1209 Ph: (706) 356-1072 | Kerri L Wiley, NP-C 12192 Augusta Road, Lavonia, GA 30553-1209 Ph: (706) 356-1072 |
Kari Tatum, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 177 Alderman Ln, Lavonia, GA 30553 Phone: 678-209-7523 | |
Mr. William Chester Ford Jr., NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11973 Augusta Rd, Lavonia, GA 30553 Phone: 706-356-8181 Fax: 706-356-8081 | |
Christie Rae Crump, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 367 Clear Creek Pkwy, Lavonia, GA 30503 Phone: 770-219-7078 Fax: 770-219-7365 | |
Victoria Lynn Jordan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12192 Augusta Rd, Lavonia, GA 30553 Phone: 706-356-1072 Fax: 706-356-1457 | |
Amy Beth Freeman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12192 Augusta Rd, Lavonia, GA 30553 Phone: 706-356-1072 | |
Ms. Natalie Ann Chambers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12192 Augusta Rd, Lavonia, GA 30553 Phone: 706-356-1072 | |
Ms. Ruth L Tellano-daniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 367 Clear Creek Pkwy, Lavonia, GA 30553 Phone: 706-356-7800 |