Wiley Wilson (NPI# 1083686430, PAC ID# 7810046257) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
Nation Provider ID (NPI) | 1083686430 |
PAC ID by PECOS | 7810046257 |
Professional Enrollment ID | I20090514000312 |
Full Name | Wiley Wilson |
Organization Legal Name | ERX GROUP LLC |
Address |
117 Kite Rd Swainsboro GA 30401-3231 |
Phone Number | 4782891100 |
Gender | M |
Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
Graduation Year | 1983 |
Primary Specialty | PEDIATRIC MEDICINE |
Group Practice PAC ID | 9335037571 |
Number of Group Practice Members | 27 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
111327 | BACON COUNTY HOSPITAL |
Address | Phone | Organization |
---|---|---|
117 Kite Rd, Swainsboro, GA 30401-3231 | 4782891100 | ERX GROUP LLC |
Organization Legal Name | ERX GROUP LLC |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rogelio L Carrera | Emergency Medicine | Erx Group LLC | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 |
Khadijatu E Allen | Internal Medicine | Erx Group LLC | 302 S Wayne St, Alma, GA 31510-2922 |
James M Seward | Family Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Richard C Houck | Emergency Medicine | Erx Group LLC | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 |
Mark A Foppe | Emergency Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Vijay K Mahathre | Emergency Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Neal W Rehberg | Family Medicine | Erx Group LLC | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 |
David L Turfler | Emergency Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Joseph Hugo Duvert | Internal Medicine | Erx Group LLC | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 |
Nichole S Supple | Emergency Medicine | Erx Group LLC | 163 E Tollison St, Baxley, GA 31513-0120 |
Street Address |
117 KITE RD |
City | SWAINSBORO |
State | GA |
Zip | 30401-3231 |
Name | Specialty | Organization | Address |
---|---|---|---|
James M Seward | Family Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Thomas M Meadows | Diagnostic Radiology | South Georgia Radiology Associates LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Phillip G Boatright Jr. | Physician Assistant | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Anna H Williams | Physician Assistant | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Cedric Elmer Porter | Family Medicine | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Amanda S Jarriel | Nurse Practitioner | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Mary J Greenway | Nurse Practitioner | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Anthony L Howard Sr. | Internal Medicine | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Mark A Foppe | Emergency Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
William B Headley | General Surgery | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
David J Davis Iii | Chiropractic | 120 Jackson St, Suite C, Swainsboro, GA 30401-3160 | |
Vijitha P Prasad | Internal Medicine | South Georgia Internal Medicine,pc | 544 W Church St, Swainsboro, GA 30401-3230 |
Megan C Kight | Nurse Practitioner | South Georgia Internal Medicine,pc | 544 W Church St, Swainsboro, GA 30401-3230 |
Pamela R Love | Nurse Practitioner | South Georgia Internal Medicine,pc | 544 W Church St, Swainsboro, GA 30401-3230 |
Nicholas Luecke | Nurse Practitioner | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Mark L Mudano | Orthopedic Surgery | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Vijay K Mahathre | Emergency Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
James D Clifton | Family Medicine | Emanuel County Hospital Authority | 117 Kite Rd, Swainsboro, GA 30401-3231 |
David L Turfler | Emergency Medicine | Erx Group LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Cindy A Holt | Certified Registered Nurse Anesthetist (crna) | Sentry Anesthesia Management, LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
Find all physicians in zip 30401 |
City | SWAINSBORO |
Zip Code | 30401 |
Specialty | PEDIATRIC MEDICINE |
City + Specialty | SWAINSBORO + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Wiley Wilson.
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.