JEFFREY RYAN WICKER
NPI 1245990787
Nurse Practitioner in Atlanta, GA

Q: What is Jeffrey Wicker's NPI number?

The NPI number for Jeffrey Wicker is 1245990787. It was assigned to this individual provider in the NPPES registry on December 24, 2021.

Q: What is Jeffrey Wicker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Wicker was last updated on December 23, 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.

Active since December 24, 2021PECOS Enrolled

275 COLLIER RD NW STE 300, ATLANTA, GA 30309(404) 350-0009 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2025, Apr 19, 2024, Dec 24, 2021 (3 updates tracked since 2021).

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About Jeffrey Ryan Wicker NPPES

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

JEFFREY RYAN WICKER (NPI 1245990787) is an individual nurse practitioner in Atlanta, Georgia, licensed in Georgia (192893) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245990787

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJEFFREY RYAN WICKER

Location Address275 COLLIER RD NW STE 300Atlanta, GA 30309-1740

Mailing Address951 Glenwood Ave Se Unit 1710Atlanta, GA 30316-1890 · (404) 387-3012

Phone(404) 350-0009

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 24, 2021

Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration

NPPES CertifiedDecember 23, 2025

✔ NPI 1245990787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · 192893

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 192893 (GA)

275 COLLIER RD NW STE 300, Atlanta, GA 30309

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Secondary Practice Location 1

Location 1951 Glenwood Ave SE Unit 1710Atlanta, GA 30316-1890 · Phone (404) 387-3012

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Ryan Wicker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527559640

PECOS Enrollment IDI20251117003856

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 30309 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 20

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

MARY ALLENE HARRISON NP-C

Nurse Practitioner (Adult Health)