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JEFFREY RYAN WICKER
NPI 1245990787
Nurse Practitioner in Atlanta, GA

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Piedmont Specialty Hospital Billing LLC
44 mi
Internal Medicine
1266 HIGHWAY 515 S
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 317 clinicians in this Medicare group
NPI 1699290510 (770) 801-2500
Piedmont Providers LLC
46 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500

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

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)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Fulton County (404) 350-0009
NICHOLAS AUSTIN MD
Anesthesiology (Critical Care Medicine)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Fulton County (404) 350-0009
DR. PAUL ZOLTY M.D.
Internal Medicine (Sleep Medicine)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Fulton County (404) 350-0009
MRS. JACQUELINE REID NP
Nurse Practitioner
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Fulton County (404) 350-0009
STEPHANIE NAM
Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Fulton County (404) 350-0009
AUSTIN DEAL PA-C
Physician Assistant (Medical)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Fulton County (404) 350-0009
DR. PETER BUCKINGHAM LOWERY MD
Internal Medicine (Pulmonary Disease)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Fulton County (404) 350-0009
DR. EBY ISON THEKKEDATH DO
Internal Medicine (Pulmonary Disease)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Fulton County (404) 350-0009

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 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.

Where is Jeffrey Wicker located?

Jeffrey Wicker practices at 275 Collier Rd NW Ste 300, Atlanta, GA 30309. The listed phone number is (404) 350-0009.

What is Jeffrey Wicker's specialty?

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

Is Jeffrey Wicker enrolled in Medicare?

Yes. Jeffrey Wicker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeffrey Wicker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Wicker reassigns Medicare benefits to 2 organizations: Piedmont Specialty Hospital Billing LLC (Jasper, GA) and Piedmont Providers LLC (Jasper, 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 Jeffrey Wicker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 10 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.