Individual provider Active NPI

Michelle Lee Wheat, FNP-C

  • Nurse Practitioner
  • Blairsville, GA
National Provider Identifier
1275106783
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN168420 Issued in GA
Practice address
123 Weaver Rd Ste B
Blairsville, GA 30512-3155
Phone
(706) 698-3627
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN168420 GA Primary

Addresses

Primary practice location

123 Weaver Rd Ste B
Blairsville, GA 30512-3155

Mailing address

123 Weaver Rd Ste B
Blairsville, GA 30512-3155
Phone (706) 455-7101

Other identifiers 1

IdentifierTypeStateIssuer
00OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfbeno@outlook.com

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
I20210811002704 GA Practitioner - Nurse Practitioner 5991109068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14244 Hwy 515 N
Suite 100
Ellijay, GA 30540-0536
Phone (706) 698-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Jul 24, 2023 Accepting new patients
The Raisig Clinic and Wellness Center CurrentSince Aug 1, 2021 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jul 24, 2023 Accepting new patients
Sentinel Plastic Surgery LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

123 Weaver Rd
#B
Blairsville, GA 30512
Phone (706) 439-6486

14244 Highway 515 N
Unit 100
Ellijay, GA 30536
Phone (404) 996-6596

61 Highland Ct
Ste 101
Ellijay, GA 30540
Phone (706) 698-3627

60 Highland Ct
Ellijay, GA 30540
Phone (706) 698-3627

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michelle.wheat.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16510/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1275106783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WEAVER RD STE B",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123155",
            "telephone_number": "706-455-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WEAVER RD STE B",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123155",
            "telephone_number": "706-698-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEAT",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN168420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfbeno@outlook.com",
            "affiliation": "N",
            "address_1": "123 Weaver Rd Ste B",
            "city": "Blairsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305123155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.