Kelvin James Wiley, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

23431 Issued in SC

Practice address

4201 Belfort Rd
Jacksonville, FL 32216-1431

Phone

(803) 718-6251

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)

Education

Wright State University Boonshoft School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sound Physicians of Florida IV, LLCGroup PAC ID 6002198082, 47 clinicians

Focus Healthcare PAGroup PAC ID 4183053754, 4 clinicians

Sound Physicians of Florida VI LLCGroup PAC ID 1759802333, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
• Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212
• Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001
• Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwiley633583@direct.shands.ufl.edu

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.

• Focus Healthcare PA

  • Internal Medicine Physician
  • Ocala, FL
  • NPI 1396370318
  Medicare reassignment Care Compare group NPD
• Sound Physicians of Florida IV, LLC

  • Internal Medicine Physician
  • Palm Coast, FL
  • NPI 1740633635
  Medicare reassignment Care Compare group NPD
• Sound Physicians of Florida VI LLC

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1417761073
  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Jacksonville, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1124252333
  Medicare reassignment NPD
• Florida Hospital Healthcare Partners, Inc

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1780100529
  Medicare reassignment NPD
• Hospital Specialists Inc

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144265257
  Medicare reassignment NPD
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597
  Medicare reassignment NPD
• St Vincents Ambulatory Care Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1417987124

  Internal Medicine

  Medicare reassignment NPD
• Impact Physician Group, LLC

  • Internal Medicine Physician
  • Peachtree City, GA
  • NPI 1114428612

  FL

  Medicare reassignment NPD
• Midlands Physical Medicine, LLC

  • Non-Pharmacy Dispensing Site
  • Columbia, SC
  • NPI 1457617540
  NPD Authorized official
• Cogent Healthcare of Jacksonville, LLC

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1386215275
  NPD
• Cogent Healthcare of Jacksonville, LLC

  • Internal Medicine Physician
  • Port Orange, FL
  • NPI 1861150625
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Palm Coast Parkway Inc

  dba Adventhealth Palm Coast Parkway

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1861102345
  Care Compare affiliation
• Flagler Hospital Inc

  • General Acute Care Hospital
  • St Augustine, FL
  • NPI 1144211020
  Care Compare affiliation
• Flagler Hospital, Inc.

  • Urgent Care Clinic/Center
  • St Augustine, FL
  • NPI 1447527965

  Hospital

  Care Compare affiliation
• Marion Community Hospital, Inc.

  dba HCA Florida Ocala Hospital

  • General Acute Care Hospital
  • Ocala, FL
  • NPI 1841237930
  Care Compare affiliation
• Shands Jacksonville Medical Center Inc

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1144962408

  Hospital

  Care Compare affiliation
• Shands Jacksonville Medical Center Inc

  dba Shands Jacksonville

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1821186313
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1194810481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MARGARET ST",
            "address_2": "STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043868",
            "telephone_number": "803-718-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BELFORT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161431",
            "telephone_number": "803-718-6251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Memorial Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321175167",
            "country_code": "US",
            "telephone_number": "386-231-1090",
            "fax_number": "386-231-1092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "KELVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "23431",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME111390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234311",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wiley Retirement Home (sanjuan retirement home)
• Amy L Wiley, M.S., CCC-SLP
• Bridgett Princess Wiley
• Carolyn Wiley
• Christie Lynne Wiley
• Latasha Wiley
• Shelly Lynn Wiley, PTA
• Tashondra Daniels Wiley
• Wiley's Cove (Conversations In Beauty)
• Lisa Wilford

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.