Individual provider Active NPI

Georgena D Wiley, FNP-BC, RN

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1346587680
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277001162 Issued in IL
Practice address
2000 E Lamar Blvd Ste 600
Arlington, TX 76006-7361
Phone
(817) 383-1341
Fax
(817) 890-4667
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP129659 TX
Family Nurse Practitioner 363LF0000X 277001162 IL Primary
Primary Care Nurse Practitioner 363LP2300X 22949 CA
Registered Nurse 163W00000X 796624 CA

Addresses

Primary practice location

2000 E Lamar Blvd Ste 600
Arlington, TX 76006-7361

Mailing address

2000 E Lamar Blvd Ste 600
Arlington, TX 76006-7361
Phone (817) 383-1341

Other practice location 1

20200 Governors Dr
Olympia Fields, IL 60461-1032
Phone (817) 383-1341

Other identifiers 2

IdentifierTypeStateIssuer
1346587680MedicaidTX
01062013391728MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, MI, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160114001454 TX Practitioner - Nurse Practitioner 5193028710 Reassigns benefits to 5 organizations
I20180605000316 IL Practitioner - Nurse Practitioner 5193028710 Reassigns benefits to 3 organizations
I20231114002265 MI Practitioner - Nurse Practitioner 5193028710 Reassigns benefits to 1 organization
I20240207001145 OH Practitioner - Nurse Practitioner 5193028710 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
796624CAMDRegistered Nurse
AP129659TXMDFamily Nurse Practitioner
22949CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jul 12, 2019 Accepting new patients
Life Choice Health Center, LLC Family CurrentSince Jul 19, 2025 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 12, 2019 Accepting new patients
Odette Louise Campbell MD PA CurrentSince Feb 5, 2020 Accepting new patients
Doctors on Site, LTD CurrentSince May 2, 2018 Accepting new patients
Signify Health, LLC CurrentSince Dec 24, 2023 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Oct 17, 2016 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 12, 2019 Accepting new patients

Locations

1130 S Canal St
Ste 1399
Chicago, IL 60607
Phone (773) 559-1397

1 Executive Ct
Ste 1
South Barrington, IL 60010
Phone (847) 388-0929

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

2000 E Lamar Blvd
Ste 600
Arlington, TX 76006
Phone (214) 519-9473

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

752 N Main St
Unit 471
Mansfield, TX 76063

5072 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (469) 671-0900

Organizations & group practices 9

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": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1346587680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E LAMAR BLVD STE 600",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067361",
            "telephone_number": "817-383-1341",
            "fax_number": "817-890-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E LAMAR BLVD STE 600",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067361",
            "telephone_number": "817-383-1341",
            "fax_number": "817-890-4667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20200 Governors Dr",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611032",
            "country_code": "US",
            "telephone_number": "817-383-1341",
            "fax_number": "817-890-4667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "GEORGENA",
        "middle_name": "D",
        "credential": "FNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129659",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001162",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "22949",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "796624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346587680",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01062013391728",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.