Jessica Marie Wilder, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

75407 Issued in GA

Practice address

503 Eisenhower Dr
Savannah, GA 31406-2668

Phone

(123) 556-2559

NPI assigned

Aug 29, 2011

Last updated

Mar 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Mercer University School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Group practices

M and B Imaging, PCGroup PAC ID 1557623782, 69 clinicians

Coastal Imaging Solutions LLCGroup PAC ID 0042464364, 22 clinicians

Columbus Diagnostic Center IncGroup PAC ID 3375455884, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

36.51 of 100Reported as individual

Quality

25.31

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Imaging Solutions LLC

  dba Global Imaging Solutions

  • Radiology Clinic/Center
  • Savannah, GA
  • NPI 1114263456
  Medicare reassignment Care Compare group NPD
• Columbus Diagnostic Center Inc

  • Diagnostic Radiology Physician
  • Columbus, GA
  • NPI 1316108624
  Medicare reassignment Care Compare group NPD
• M & B Imaging, PC

  • Radiology Clinic/Center
  • Gainesville, GA
  • NPI 1932624723

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Atlantic Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1033136080
  Medicare reassignment NPD
• Pro Radiology, LLC

  • Radiology Clinic/Center
  • Atlanta, GA
  • NPI 1164966461
  Medicare reassignment NPD
• Synergy Radiology, LLC

  dba American Health Imaging of Conyers

  • Radiology Clinic/Center
  • Conyers, GA
  • NPI 1558886341

  Diagnostic Radiology

  Medicare reassignment NPD
• Atlantic Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Hilton Head, SC
  • NPI 1922338656
  Medicare reassignment NPD
• Vision Imaging Center LLC

  dba Vision Imaging Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Thomasville, GA
  • NPI 1346947637
  Medicare reassignment
• American Health Imaging of Georgia LLC

  dba American Health Imaging of Savannah, LLC

  • Radiology Clinic/Center
  • Savannah, GA
  • NPI 1053922567
  NPD
• American Health Imaging of Georgia LLC

  dba American Health Imaging of West Cobb LLC

  • Radiology Clinic/Center
  • Austell, GA
  • NPI 1114902053
  NPD
• American Health Imaging of Georgia LLC

  dba American Health Imaging of Newnan LLC

  • Radiology Clinic/Center
  • Newnan, GA
  • NPI 1144206764
  NPD
• American Health Imaging of Georgia LLC

  dba American Health Imaging of Sandy Springs LLC

  • Radiology Clinic/Center
  • Atlanta, GA
  • NPI 1457705535
  NPD

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1295016780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MALL BLVD",
            "address_2": "#300B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064797",
            "telephone_number": "912-358-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062668",
            "telephone_number": "123-556-2559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Grand Central Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224148",
            "country_code": "US",
            "telephone_number": "912-355-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "GA",
            "license": "75407",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "75407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Youngblood Wilbur
• Ashlee Wilcox, MS, CCC-SLP
• Nakiah Janae Wilcox, FNP
• Amethyst Wilder, MD
• Ashley C Wilder
• Samuel Garrett Wilder, MD
• Deanna M Wildes, RN, BSN
• Tyler John Wildes, MD, PHD
• Wildlight Counseling Services, LLC
• Gregory A Wilets, MD

• Diagnostic Radiology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.