JEFFREY RYAN WICKER
NPI 1245990787
Nurse Practitioner in Atlanta, GA

NPI Status: Active since December 24, 2021

Contact Information

275 COLLIER RD NW STE 300
ATLANTA, GA
ZIP 30309
Phone: (404) 350-0009

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  • Individual
  • Male
  • Years of Experience 4
  • Nurse Practitioner
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About JEFFREY WICKER

This page provides the complete NPI Profile along with additional information for Jeffrey Wicker, a provider established in Atlanta, Georgia with a medical specialization in Nurse Practitioner and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1245990787 assigned on December 2021. The practitioner's primary taxonomy code is 363L00000X with license number 192893 (GA). The provider is registered as an individual and his NPI record was last updated December 2025.

NPI
1245990787
Provider Name
JEFFREY RYAN WICKER
Gender
Male
Entity Type
Individual
Location Address
275 COLLIER RD NW STE 300 ATLANTA, GA 30309
Location Phone
(404) 350-0009
Mailing Address
951 GLENWOOD AVE SE UNIT 1710 ATLANTA, GA 30316
Mailing Phone
(404) 387-3012
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
12-24-2021
Last Update Date
12-23-2025
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A nurse practitioner (NP) like Jeffrey Wicker is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 951 Glenwood Ave SE Unit 1710
    Atlanta, GA 30316
    (404) 387-3012

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
192893
License State
GA
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LC0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Critical Care Medicine

192893 (GA)

Medicare Participation & PECOS Enrollment Status

Jeffrey Wicker is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Jeffrey Wicker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8527559640

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251117003856

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30309 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.06
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $22.01
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.1

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.2
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $25.05
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $35.1

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245990787, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 1 + 8 + 9 + 0 + 7 + 1 + 6 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1245990787.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Internal Medicine (Pulmonary Disease)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant (Medical)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant (Medical)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Internal Medicine (Pulmonary Disease)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant (Medical)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Nurse Practitioner
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant (Medical)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Physician Assistant
275 COLLIER RD NW STE 300
ATLANTA, GA 30309
Internal Medicine (Sleep Medicine)
275 COLLIER RD NW STE 300
ATLANTA, GA 30309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245990787, enumerated as an "individual" on December 24, 2021.

The provider is located at 275 COLLIER RD NW STE 300 ATLANTA, GA 30309 and the phone number is (404) 350-0009.

Nurse Practitioner with taxonomy code 363L00000X.