Individual provider Active NPI

Mary Elizabeth Wiles, DO

  • Internal Medicine Physician
  • Blairsville, GA
National Provider Identifier
1598056897
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
71586 Issued in GA
Practice address
374A Pat Haralson Dr
Mary Elizabeth Wiles, DO, PC
Blairsville, GA 30512-8409
Phone
(706) 745-5541
Fax
(706) 745-1361
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 71586 GA Primary

Addresses

Primary practice location

374A Pat Haralson Dr
Mary Elizabeth Wiles, DO, PC
Blairsville, GA 30512-8409

Mailing address

PO Box 1000
Blairsville, GA 30514-1000
Phone (706) 745-5541

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140915002574 GA Practitioner - Internal Medicine 7012132616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

374 A Pat Haralson Dr
Blairsville, GA 30512-8409
Phone 706745554126

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
71586GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Beth Wiles, M.D., PC Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Mary Elizabeth Wiles, DO, PC Internal Medicine CurrentSince Apr 30, 2014 Accepting new patients

Locations

374A Pat Haralson Dr
Blairsville, GA 30512
Phone (706) 745-5541

374 Pat Haralson Dr
#A
Blairsville, GA 30512
Phone (706) 745-5541

Interoperability endpoints

  • Direct secure messaging: mary.elizabeth.wiles.1@9035.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9035/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1598056897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305141000",
            "telephone_number": "706-745-5541",
            "fax_number": "706-745-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374A PAT HARALSON DR",
            "address_2": "MARY ELIZABETH WILES, DO, PC",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128409",
            "telephone_number": "706-745-5541",
            "fax_number": "706-745-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILES",
        "first_name": "MARY ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "71586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.