Active NPI
Cory Wiles, PA-C
- Physician Assistant
- Lenoir, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05039
- Practice address
- 321 Mulberry St SW
Lenoir, NC 28645-5720 - Phone
- (828) 757-5504
- Fax
- (828) 757-5501
- NPI assigned
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-05039 | NC | |
| Physician Assistant | 363A00000X | 0010-05039 | NC | Primary |
Addresses
Primary practice location
321 Mulberry St SW
Lenoir, NC 28645-5720
Mailing address
321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-5504
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3511 Graystone PL SE
Conover, NC 28613-8201
Phone (828) 732-5600
50 Macedonia Church Rd a
Taylorsville, NC 28681-8414
Phone (828) 732-5300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05039 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Group Inc | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Catawba Valley Medical Group Inc | Current | Accepting new patients | |
| Catawba Valley Medical Group, Inc | Past | Accepting new patients |
Locations
200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377
3521 Graystone Pl SE
Ste 202
Conover, NC 28613
Phone (828) 326-2354
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100
50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- cory.wiles@cvmg.eclinicaldirectplus.com
Organizations & group practices 10
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.
-
dba Catawba Valley Family Care - Catawba
- Family Medicine Physician
- Catawba, NC
- NPI 1790062362
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
dba CVMC Maternity Services
- Obstetrics Physician
- Hickory, NC
- NPI 1285929554
-
- Health Educator
- Hickory, NC
- NPI 1518524818
-
dba CVMC Palliative Care Services
- Hospice and Palliative Medicine (Family Medicine) Physician
- Hickory, NC
- NPI 1619234028
-
- Cardiovascular Disease Physician
- Hickory, NC
- NPI 1790194322
-
dba Catawba Valley Surgery & Cancer Center
- Surgery Physician
- Hickory, NC
- NPI 1558126276
-
dba Gastroenterology Associates of Catawba Valley-A
- Ambulatory Surgical Clinic/Center
- Hickory, NC
- NPI 1659267359
-
dba Catawba Valley Family Medicine-South East Catawba
- Family Medicine Physician
- Sherrills Ford, NC
- NPI 1326325994
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1982017661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 MULBERRY ST SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455720",
"telephone_number": "828-757-5504",
"fax_number": "828-757-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MULBERRY ST SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455720",
"telephone_number": "828-757-5504",
"fax_number": "828-757-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILES",
"first_name": "CORY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-05039",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.