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KIMBERLY LAUREN WILEY NP
NPI 1386279362
Nurse Practitioner - Family in Cumming, GA

Active since March 10, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3970 DEPUTY BILL CANTRELL MEM STE 100, CUMMING, GA 30040(678) 513-2273 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kimberly Lauren Wiley Np NPPES

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

KIMBERLY LAUREN WILEY NP (NPI 1386279362) is an individual family provider in Cumming, Georgia, licensed in Georgia (184643) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Jasper.

NPPES Registry Identity

NPI1386279362
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY LAUREN WILEYCredential: NP
Location Address3970 DEPUTY BILL CANTRELL MEM STE 100Cumming, GA 30040-3069
Mailing Address6070 Stillwood LnCumming, GA 30041-4427 · (678) 630-5229
Phone(678) 513-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 10, 2020
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1386279362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 184643
Also ListedNurse PractitionerTaxonomy 363L00000X · License 184643 (GA)
3970 DEPUTY BILL CANTRELL MEM STE 100, Cumming, GA 30040
Open in Google Maps ↗

Secondary Practice Location 1

Location 11266 Highway 515 SJasper, GA 30143-4872 · Phone (706) 692-2441

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Lauren Wiley Np 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 ID3779904131
PECOS Enrollment IDI20200610003476
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
420 services271 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
178 services166 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
36 services28 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

HEART AND VASCULAR CARE EAST, LLC
Internal Medicine (Cardiovascular Disease)
3970 DEPUTY BILL CANTRELL MEM STE 100
CUMMING, GA 30040
Forsyth County (678) 513-2273
DR. HARSH PATEL D.O.
Internal Medicine (Cardiovascular Disease)
3970 DEPUTY BILL CANTRELL MEM STE 100
CUMMING, GA 30040
Forsyth County (678) 513-2273

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 Kimberly Wiley's NPI number?

The NPI number for Kimberly Wiley is 1386279362. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Where is Kimberly Wiley located?

Kimberly Wiley practices at 3970 Deputy Bill Cantrell Mem Ste 100, Cumming, GA 30040. The listed phone number is (678) 513-2273.

What is Kimberly Wiley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Wiley enrolled in Medicare?

Yes. Kimberly 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.

Is Kimberly Wiley affiliated with any hospitals?

According to CMS data, Kimberly Wiley is affiliated with Northside Hospital Forsyth, Northside Hospital and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kimberly Wiley was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.