BRADY OWEN WHEELER
NPI 1073499109
Nurse Practitioner - Family in Canton, GA

Active since August 13, 2025PECOS Enrolled
2000 VILLAGE PROFESSIONAL DR, CANTON, GA 30114(678) 661-4545 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2025, Aug 13, 2025 (2 updates tracked since 2025).

About Brady Owen Wheeler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADY OWEN WHEELER (NPI 1073499109) is an individual family provider in Canton, Georgia, licensed in Georgia (RN316976) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073499109
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRADY OWEN WHEELER
Location Address2000 VILLAGE PROFESSIONAL DRCanton, GA 30114-8498
Mailing Address2000 Village Professional DrCanton, GA 30114-8498 · (678) 661-4545
Sole ProprietorNo
Enumeration DateAugust 13, 2025
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1073499109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN316976
2000 VILLAGE PROFESSIONAL DR, Canton, GA 30114

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brady Owen Wheeler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2000 VILLAGE PROFESSIONAL DR
CANTON, GA 30114
Specialist
2000 VILLAGE PROFESSIONAL DR, SUITE 200
CANTON, GA 30114
Specialist
2000 VILLAGE PROFESSIONAL DR, SUITE 200
CANTON, GA 30114
Pain Medicine (Pain Medicine)
2000 VILLAGE PROFESSIONAL DR, SUITE 200
CANTON, GA 30114
Clinic/Center (Radiology)
2000 VILLAGE PROFESSIONAL DR, SUITE 100
CANTON, GA 30114
Clinic/Center (Physical Therapy)
2000 VILLAGE PROFESSIONAL DR, SUITE 300
CANTON, GA 30114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brady Wheeler's NPI number?

The NPI number for Brady Wheeler is 1073499109. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Brady Wheeler located?

Brady Wheeler practices at 2000 Village Professional Dr, Canton, GA 30114. The listed phone number is (678) 661-4545.

What is Brady Wheeler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brady Wheeler enrolled in Medicare?

Yes. Brady Wheeler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brady Wheeler was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.