Individual provider Active NPI

Megan Stuckey Wiley, NP-C

  • Family Nurse Practitioner
  • Thomson, GA
National Provider Identifier
1093156341
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN199743 Issued in GA
Practice address
315 Fluker St
Thomson, GA 30824-2108
Phone
(706) 595-1090
Fax
(706) 595-6010
NPI assigned
Jul 16, 2013
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN199743 GA Primary

Addresses

Primary practice location

315 Fluker St
Thomson, GA 30824-2108

Mailing address

315 Fluker St
Thomson, GA 30824-2108
Phone (706) 595-1090

Other identifiers 1

IdentifierTypeStateIssuer
003136425AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814003467 GA Practitioner - Nurse Practitioner 1557610227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical College of Georgia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (706) 790-4440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Group of Thomson, Inc Current Accepting new patients
Neighborhood Improvement Project, Inc CurrentSince Mar 1, 2023 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Mar 1, 2023 Accepting new patients
Family Care Group of Thomson,Inc CurrentSince Feb 1, 2018 Accepting new patients
Neighborhood Improvement Project, Inc. Past Accepting new patients

Locations

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

123 N Washington St
Lincolnton, GA 30817
Phone (706) 359-6070

2508 University Dr
Thomson, GA 30824
Phone (706) 595-1090

315 Fluker St
Thomson, GA 30824
Phone (706) 595-1090

Interoperability endpoints

  • Direct secure messaging: meganwiley@fcgt.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1093156341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 FLUKER ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242108",
            "telephone_number": "706-595-1090",
            "fax_number": "706-595-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 FLUKER ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308242108",
            "telephone_number": "706-595-1090",
            "fax_number": "706-595-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "MEGAN",
        "middle_name": "STUCKEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN199743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136425A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomson, GA

Sources for this page

Verify at the official NPI Registry.