Gregory A Wilets, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

060893 Issued in GA

Practice address

5002 Waters Ave
Savannah, GA 31404-6226

Phone

(912) 344-0040

Fax

(912) 786-8943

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1053374918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 LAUREL AVE",
            "city": "TYBEE ISLAND",
            "state": "GA",
            "postal_code": "313288748",
            "telephone_number": "912-344-0040",
            "fax_number": "912-786-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046226",
            "telephone_number": "912-344-0040",
            "fax_number": "912-786-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILETS",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "060893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "1558691881",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.