Daryl C Wiley (NPI# 1508859448, PAC ID# 4688608730) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1508859448 |
PAC ID by PECOS | 4688608730 |
Professional Enrollment ID | I20060329000464 |
Full Name | Daryl C Wiley |
Organization Legal Name | FAMILY CARE GROUP OF THOMSON INC |
Address |
2508 University Dr Thomson GA 30824-0040 |
Phone Number | 7065951090 |
Gender | M |
Credential | MD |
Medical School | MEDICAL COLLEGE OF GEORGIA |
Graduation Year | 1988 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9133153273 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110111 | UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER |
110028 | UNIVERSITY HOSPITAL |
111325 | WILLS MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
2508 University Dr, Thomson, GA 30824-0040 | 7065951090 | FAMILY CARE GROUP OF THOMSON INC |
315 Fluker St, Thomson, GA 30824-2108 | 7065951090 | FAMILY CARE GROUP OF THOMSON INC |
Organization Legal Name | FAMILY CARE GROUP OF THOMSON INC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Megan Stuckey Wiley | Nurse Practitioner | Family Care Group of Thomson Inc | 2508 University Dr, Thomson, GA 30824-0040 |
James C Sheppard | Internal Medicine | Family Care Group of Thomson Inc | 315 Fluker St, Thomson, GA 30824-2108 |
Emily Talkington | Nurse Practitioner | Family Care Group of Thomson Inc | 2508 University Dr, Thomson, GA 30824-0040 |
Michael Stamper | Nurse Practitioner | Family Care Group of Thomson Inc | 315 Fluker St, Thomson, GA 30824-2108 |
Robert F Polglase | Emergency Medicine | Family Care Group of Thomson Inc | 315 Fluker St, Thomson, GA 30824-2108 |
Michael Mcdaniel | Physician Assistant | Family Care Group of Thomson Inc | 2508 University Dr, Thomson, GA 30824-0040 |
Street Address |
2508 UNIVERSITY DR |
City | THOMSON |
State | GA |
Zip | 30824-0040 |
Name | Specialty | Organization | Address |
---|---|---|---|
Megan Stuckey Wiley | Nurse Practitioner | Family Care Group of Thomson Inc | 2508 University Dr, Thomson, GA 30824-0040 |
Emily Talkington | Nurse Practitioner | Family Care Group of Thomson Inc | 2508 University Dr, Thomson, GA 30824-0040 |
Michael Mcdaniel | Physician Assistant | Family Care Group of Thomson Inc | 2508 University Dr, Thomson, GA 30824-0040 |
Name | Specialty | Organization | Address |
---|---|---|---|
David M Clark | Cardiovascular Disease (cardiology) | University Cardiology Associates LLC | 2500 University Dr, Thomson, GA 30824-0040 |
Rand A Confer | Diagnostic Radiology | Regional Open Mri, LLC | 2516 University Dr, Suite A, Thomson, GA 30824-0040 |
Gordon L Walters | Cardiovascular Disease (cardiology) | University Cardiology Associates LLC | 2500 University Dr, Thomson, GA 30824-0040 |
Kellie V Lane | Cardiovascular Disease (cardiology) | University Cardiology Associates LLC | 2500 University Dr, Thomson, GA 30824-0040 |
Santosh C. Varkey | Cardiac Electrophysiology | University Cardiology Associates LLC | 2500 University Dr, Thomson, GA 30824-0040 |
Victoria M Burt | Nurse Practitioner | University Cardiology Associates LLC | 2500 University Dr, Thomson, GA 30824-0040 |
Joseph F Pensabene | Cardiovascular Disease (cardiology) | University Cardiology Associates LLC | 2500 University Dr, Thomson, GA 30824-0040 |
Clay B Cushman | Physician Assistant | University Cardiology Associates LLC | 2500 University Dr, Thomson, GA 30824-0040 |
Erica Lauren Mitchell | Nurse Practitioner | University Cardiology Associates LLC | 2500 University Dr, Thomson, GA 30824-0040 |
Sandra Garcia Hinson | Physician Assistant | University Cardiology Associates LLC | 2500 University Dr, Thomson, GA 30824-0040 |
Find all physicians in zip 30824 |
City | THOMSON |
Zip Code | 30824 |
Specialty | FAMILY MEDICINE |
City + Specialty | THOMSON + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.