| 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 | 15 Years |
| Location | 12192 Augusta Road, Lavonia, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for 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 |
|---|---|---|
| Southern Np Associates Llc | 1557686243 | 46 |
| Mission Behavioral Health Llc | 8628485935 | 5 |
| Entity Name | Southern Np Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407257447 PECOS PAC ID: 1557686243 Enrollment ID: O20150223000847 |
| 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 | Mission Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235724238 PECOS PAC ID: 8628485935 Enrollment ID: O20210405001325 |
| 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 |
Ansley Pulsifer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 355 Clear Creek Pkwy Ste 1005, Lavonia, GA 30553 Phone: 770-800-3455 Fax: 770-450-8024 | |
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: Medicare Enrolled Practice Location: 367 Clear Creek Pkwy, Lavonia, GA 30553 Phone: 706-356-7800 |