1. Home
  2. Directory
  3. Georgia
  4. Cordele
  5. Pediatrics
  6. NPI Profile

DR. WILEY WILSON DO
NPI 1083686430
Pediatrics in Cordele, GA

Active since February 01, 2006PECOS Enrolled
176 LAKEVIEW CIR, CORDELE, GA 31015(229) 322-0570(229) 271-7504 Get Directions Write a Review

NPPES record last updated: September 4, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Wiley Wilson Do NPPES

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

DR. WILEY WILSON DO (NPI 1083686430) is an individual pediatrics provider in Cordele, Georgia, licensed in Georgia (036633) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083686430
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. WILEY WILSONCredential: DO
Location Address176 LAKEVIEW CIRCordele, GA 31015-5318
Mailing Address176 Lakeview CirCordele, GA 31015-5318 · (229) 322-0570 · Fax (229) 271-7504
Phone(229) 322-0570
Fax(229) 271-7504
Sole ProprietorYes
Enumeration DateFebruary 1, 2006
Last NPPES UpdateSeptember 4, 2009
✔ NPI 1083686430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 036633
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

176 LAKEVIEW CIR, Cordele, GA 31015
Open in Google Maps ↗

Other Identifiers 2

Medicaid795339666AGA
Medicare PIN511I080722GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wiley Wilson Do 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 31015 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Wiley Wilson's NPI number?

The NPI number for Wiley Wilson is 1083686430. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Wiley Wilson located?

Wiley Wilson practices at 176 Lakeview Cir, Cordele, GA 31015. The listed phone number is (229) 322-0570.

What is Wiley Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Wiley Wilson enrolled in Medicare?

Yes. Wiley Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wiley Wilson was last updated on September 4, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.