Danielle Renay Wiley, CNA, PCT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CN0030063124 Issued in GA

Practice address

137 N Erwin St
Cartersville, GA 30120-3123

Phone

(770) 403-9461

NPI assigned

Aug 20, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Eastchester Medical Inc

  • Primary Care Clinic/Center
  • Cartersville, GA
  • NPI 1184598716
  NPD

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1104703230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N ERWIN ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N ERWIN ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203123",
            "telephone_number": "770-403-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "DANIELLE",
        "middle_name": "RENAY",
        "credential": "CNA, PCT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "GA",
            "license": "CN0030063124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Keith White, PA-C
• Joshua Righteous Widjaja, DC
• Dan Wiener, MD
• Jerry Mark Wigley, M.D.
• Amanda Christine Wilbourn, FNP
• Abby Wilkey
• Valenie Wilkins
• Adam Carlisle Wilkinson, PT, DPT
• Margaret Law Will, NP-C
• Julie K Willett, LCSW

• Community Health Worker in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.