CODIE WILEY (NPI# 1366941684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366941684 |
| Entity Type | Individual |
| Full Name | CODIE WILEY |
| Practice Address |
Expercare Urgent Care 60 Exchange Street Suite B7 Richmond Hill GA 31324 |
| Mailing Address |
78 Triston Dr Richmond Hill GA 31324-0597 |
| Practice Telephone | 9127562273 |
| Mailing Telephone | 3344641734 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
EXPERCARE URGENT CARE 60 EXCHANGE STREET SUITE B7 |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| 1700282084 | Kimberly Cannon | Occupational Therapist | 27 Carter Street, Richmond Hills, GA 31324 | 2014-11-13 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642962 | Kiran Kazmi | Physician Assistant | 8628 131st St, Richmond Hill, NY 11418-2633 | 2020-06-07 |
| 1881133783 | Miriam Epstein | Physician Assistant | 11702 Curzon Rd, Richmond Hill, NY 11418-3483 | 2017-02-13 |
| 1639591555 | Andrew Riofrio | Physician Assistant | 9107 108th St, Richmond Hill, NY 11418-2232 | 2014-01-12 |
| 1134265192 | Padma Persaud | Physician Assistant | 113 02 107 Avenue, Richmond Hill, NY 11419 | 2007-01-29 |
| 1528051232 | Lori Bernard Gaylor | Physician Assistant | 60 Exchange St, Suite B-7, Richmond Hill, GA 31324 | 2005-08-27 |
| 1982603064 | Whitney L. Rintelman | Physician Assistant | 60 Exchange St Ste B7, Richmond Hill, GA 31324-7646 | 2005-07-20 |
| 1023017795 | Catherine Corish Grant | Physician Assistant | 60 Exchange Street, Suite B-7, Richmond Hill, GA 31324 | 2005-07-15 |
| 1285279760 | Fatima Akbar | Physician Assistant | 12108 Hillside Ave, Richmond Hill, NY 11418-1812 | 2019-11-08 |
| 1629561485 | Oleg Alenichko | Physician Assistant | 8900 Van Wyck Expy, Richmond Hill, NY 11418-2832 | 2018-06-07 |
| 1720502230 | Mallory Ann Ledergerber | Physician Assistant | 60 Exchange St Ste B7, Richmond Hill, GA 31324-7646 | 2017-07-27 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
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| 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.