TERRI H WILDES


Address: 2410n Oak St, Valdosta, GA 31602-2533
Phone: 2292417546

TERRI H WILDES (NPI# 1710388301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710388301
Entity Type Individual
Full Name TERRI H WILDES
Credential NP-C
Practice Address 2410n Oak St
Valdosta
GA 31602-2533
Practice Telephone 2292417546
Practice Fax Number 2294695722
Mailing Telephone 2292417546
Mailing Fax Number 2294695722
Enumeration Date 2014-09-15
Last Update Date 2015-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN076912 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2410N OAK ST
City VALDOSTA
State GA
Zip Code 31602-2533

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164684304 John Andrew Cole Dermatology 2410n Oak St, Valdosta, GA 31602-2533 2008-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477198117 Amber Michele Baugh Behavior Technician 2236 Bemiss Road, Valdosta, GA 31602 2019-11-15
1528611365 Nishaben T. Patel Nurse Practitioner 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 2019-07-22
1427615871 Blair Elizabeth Tomlinson Nurse Practitioner 2124 Lakeshore Drive, Valdosta, GA 31602 2019-05-21
1346704152 Mildred Itaska Borowski Counselor 3790 North Highway 41, Suite A, Valdosta, GA 31602 2019-01-25
1962991703 Southern Healthcare Alliance, LLC Physical Medicine & Rehabilitation 101-f W. Northside Drive, Valdosta, GA 31602 2018-05-08
1336636646 Kaitlyn Thrift Behavioral Analyst 2225 Bemiss Road Suite D, Valdosta, GA 31602 2018-04-23
1407379845 Lindsey Marie Richardson Dentist 103 W. Cranford Ave, Valdosta, GA 31602 2017-07-18
1962922427 Taylor Nicole Fiveash Nurse Practitioner 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 2017-06-26
1720520646 Southern Sleepers Anesthesia LLC Nurse Anesthetist, Certified Registered 4120-b N. Valdosta Road, Valdosta, GA 31602 2016-11-09
1134670557 Cataract and Laser Surgery Center of South Georgia, P.C. Clinic/Center 4120-b N. Valdosta Rd., Valdosta, GA 31602 2016-10-20
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285101964 Anne Marie Diaz Nurse Practitioner 410 Connell Road Suite T, Valdosta, GA 31602-3160 2018-10-31
1437648235 Whitney Renee Apperson Nurse Practitioner 2418 N Oak St Ste G, Valdosta, GA 31602-2575 2018-05-07
1366991374 Melissa Kelly Milicevic Nurse Practitioner 304 Janet St Ste B, Valdosta, GA 31602-2643 2016-10-03
1184805400 Pamela W Powell Nurse Practitioner 4711 Woodland Pt, Valdosta, GA 31602-0823 2007-11-15
1346326048 Gina S Dungan Nurse Practitioner 220 Northside Drive, Valdosta, GA 31602 2006-10-27
1356318265 Thomas Alexandeer Mackean Nurse Practitioner 704 Gil Harbin Industrial Blvd, Valdosta, GA 31601-6513 2006-03-01
1487260949 Joshua Caleb Vining Nurse Practitioner 3200 N Ashley St Ste C, Valdosta, GA 31602-5911 2020-09-21
1164081311 Mary Deason Perritt Nurse Practitioner 2700 N Oak St Bldg B, Valdosta, GA 31602-5903 2019-06-11
1689130312 Kala Jo Bugg Nurse Practitioner 2501 N Patterson St, Valdosta, GA 31602-1785 2019-02-19
1104382092 Meredith Emily Decesare Nurse Practitioner 2263 Pineview Dr, Valdosta, GA 31602-7316 2019-02-15
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Competitor

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City VALDOSTA
Zip Code 31602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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