Individual provider Active NPI

Erin Ashley Wilkes, FNP-C

  • Family Nurse Practitioner
  • Sandersville, GA
National Provider Identifier
1306150412
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN164167 Issued in GA
Practice address
501 Sparta Rd Ste F
Sandersville, GA 31082-1392
Phone
(478) 552-0001
Fax
(478) 552-0048
NPI assigned
Jul 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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 RN164167 GA Primary

Addresses

Primary practice location

501 Sparta Rd Ste F
Sandersville, GA 31082-1392

Mailing address

PO Box 371
Wrightsville, GA 31096-0371
Phone (478) 864-3448

Other practice location 1

2251 W Elm St
Wrightsville, GA 31096-2017
Phone (478) 864-0032

Other identifiers 1

IdentifierTypeStateIssuer
RN164167OtherGAMEDICAL LICENSE

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
I20120320000479 GA Practitioner - Nurse Practitioner 9234310970 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN164167GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Systems, Inc. CurrentSince Nov 19, 2010 Accepting new patients
Community Health Care Systems, Inc. Current Accepting new patients
Community Health Care Systems, Inc CurrentSince Nov 19, 2010 Accepting new patients
Washington County Internal Medicine, P.C. PastSince Sep 16, 2019 Accepting new patients

Locations

2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600

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": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1306150412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "WRIGHTSVILLE",
            "state": "GA",
            "postal_code": "310960371",
            "telephone_number": "478-864-3448",
            "fax_number": "478-864-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SPARTA RD STE F",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821392",
            "telephone_number": "478-552-0001",
            "fax_number": "478-552-0048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2251 W Elm St",
            "address_purpose": "LOCATION",
            "city": "Wrightsville",
            "state": "GA",
            "postal_code": "310962017",
            "country_code": "US",
            "telephone_number": "478-864-0032",
            "fax_number": "478-864-1288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKES",
        "first_name": "ERIN",
        "middle_name": "ASHLEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN164167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "RN164167",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.