Tiara Bianca Wiley-King, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5011683 Issued in NC

Practice address

3713 Nash St NW Ste 203
Wilson, NC 27896-1127

Phone

(252) 360-0071

Fax

(936) 209-7972

NPI assigned

Apr 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• King'S Nursing and Homecare

  • Clinic/Center
  • Wilson, NC
  • NPI 1992566335

  Single Specialty

  Medicare reassignment NPD Authorized official
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  NC, Single Specialty

  Medicare reassignment Care Compare group NPD
• Bowen Primary & Urgent Care PA

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1003956079

  Single Specialty

  Medicare reassignment NPD
• Chma of NC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1982364469

  Single Specialty

  Medicare reassignment NPD
• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607

  NC, Single Specialty

  Medicare reassignment NPD
• Physiatry Consultants of NC PLLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1437736881

  NC, Single Specialty

  Medicare reassignment NPD
• Vis Ta Vie Wellness and Spa

  • Clinic/Center
  • Wilson, NC
  • NPI 1043012560
  NPD Authorized official
• Springs Road Consulting LLC

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1649623703

  Single Specialty

  NPD (past)
• Theoria Medical

  • Internal Medicine Physician
  • Brighton, MI
  • NPI 1164186946

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1780247932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRENTWOOD CENTER LN N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961710",
            "telephone_number": "252-315-4696",
            "fax_number": "936-209-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 NASH ST NW STE 203",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961127",
            "telephone_number": "252-360-0071",
            "fax_number": "936-209-7972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Brentwood Center Ln N",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278961710",
            "country_code": "US",
            "telephone_number": "252-315-4696",
            "fax_number": "936-209-7972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY-KING",
        "first_name": "TIARA",
        "middle_name": "BIANCA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011683",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "NC",
            "license": "195197",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5011683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Shavonne White
• Erin H White, MS, CCC-SLP
• Kendrick Carrol White, MD
• Tyree Barnes White, MSW, LCSW
• Cindy Taylor Whitley, CPHT
• Brittany Wiley
• Jerry William Wiley, M.D.
• Jamie Kate Wilkerson, PT
• William M Batchelor Jr DDS PA
• Barbara Marie Williams, PA-C

• Nurse Practitioner in Wilson, NC
• Providers in Wilson, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.