JESSICA NICHOLE WILEY LPC
NPI 1235644139
Counselor - Professional in Waynesboro, GA

Active since December 13, 2017PECOS EnrolledAccepts Medicare Assignment
352 SOUTHSIDE DR, WAYNESBORO, GA 30830(706) 790-4440 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Nichole Wiley Lpc NPPES

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

JESSICA NICHOLE WILEY LPC (NPI 1235644139) is an individual professional provider in Waynesboro, Georgia, licensed in Georgia (LPC012567) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1235644139
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA NICHOLE WILEYCredential: LPC
Location Address352 SOUTHSIDE DRWaynesboro, GA 30830-4561
Mailing Address3206 W Wimbledon DrAugusta, GA 30909-2732
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 13, 2017
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1235644139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC012567
Also ListedCounselorTaxonomy 101Y00000X · License LPC012567 (GA)
352 SOUTHSIDE DR, Waynesboro, GA 30830

Secondary Practice Locations 2

Location 11202 Town Park Ln Ste 300Evans, GA 30809-3477 · Phone (706) 432-6866
Location 23206 W Wimbledon DrAugusta, GA 30909-2732 · Phone (706) 810-2057

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Nichole Wiley Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618404492
PECOS Enrollment IDI20241217003898
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Wiley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
352 SOUTHSIDE DR
Waynesboro, GA 30830
  • Reassigned Medicare billing, Georgia enrollment
  • 90 clinicians in this Medicare group
Psychologist
1265 INTERSTATE PKWY STE B
Augusta, GA 30909
  • Reassigned Medicare billing, Georgia enrollment
  • 36 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Clinic/Center (Federally Qualified Health Center (FQHC))
352 SOUTHSIDE DR
WAYNESBORO, GA 30830

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 Jessica Wiley's NPI number?

The NPI number for Jessica Wiley is 1235644139. It was assigned to this individual provider in the NPPES registry on December 13, 2017.

Where is Jessica Wiley located?

Jessica Wiley practices at 352 Southside Dr, Waynesboro, GA 30830. The listed phone number is (706) 790-4440.

What is Jessica Wiley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Wiley enrolled in Medicare?

Yes. Jessica Wiley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jessica Wiley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Wiley reassigns Medicare benefits to 2 organizations: Neighborhood Improvement Project Inc (Waynesboro, GA) and Inpatient Psychology Solutions LLC (Augusta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Wiley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Wiley accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Jessica Wiley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Wiley was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.