Marie Buchanan Wiles, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110002166 Issued in VA

Practice address

203 Sharp St
Lawrenceville, VA 23868-1615

Phone

(434) 848-0771

NPI assigned

Sep 4, 2006

Last updated

May 27, 2025By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, VA2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  Medicare reassignment
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593

  NC

  Medicare reassignment
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Charles H Parker Jr MD PC

  dba Halifax Gastroenterology

  • Gastroenterology Physician
  • Halifax, VA
  • NPI 1720168032
  NPD (past)
• Dan River Emergency Services LLC

  • Emergency Medicine Physician
  • Danville, VA
  • NPI 1760740435
  NPD (past)
• Danville Emergency Group LLC

  • Emergency Medicine Physician
  • Danville, VA
  • NPI 1235373077
  NPD (past)
• Halifaxmed, PLC

  • Family Medicine Physician
  • South Boston, VA
  • NPI 1174551725
  NPD (past)
• MCV Associated Physicians

  dba MCV Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457
  NPD (past)
• South Hill Internal Medicine and Critical Care P.C.

  • Legal Medicine
  • South Hill, VA
  • NPI 1740363027
  NPD (past)
• Arizona Pulmonary Specialists LTD

  • Pulmonary Disease Physician
  • Scottsdale, AZ
  • NPI 1215986468
  NPD (past)
• Henderson Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Henderson, NC
  • NPI 1841295904
  NPD (past)

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1861594376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SHARP ST",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238681615",
            "telephone_number": "434-848-0771",
            "fax_number": "434-848-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SHARP ST",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238681615",
            "telephone_number": "434-848-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILES",
        "first_name": "MARIE",
        "middle_name": "BUCHANAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002166",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861594376",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861594376",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shevon Valentine
• Virginia's Love, LLC
• Ainsworth Walker
• Sonata Wall
• Dawn Walton
• Bartell Woodberry
• Sharon Wynn
• Mohand Younes

• Physician Assistant in Lawrenceville, VA
• Providers in Lawrenceville, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.