HALEY WILSON
NPI 1679446322
Physician Assistant in Savannah, GA

Active since September 29, 2025PECOS EnrolledAccepts Medicare Assignment
4700 WATERS AVE, SAVANNAH, GA 31404(912) 350-8449 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Haley Wilson NPPES

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

HALEY WILSON (NPI 1679446322) is an individual physician assistant in Savannah, Georgia, licensed in Georgia (13169) and active in the NPI registry since September 2025. The provider is enrolled in Medicare PECOS, is affiliated with Memorial University Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679446322
Entity TypeIndividual
Primary Taxonomy363A00000X
Provider Legal NameHALEY WILSON
Location Address4700 WATERS AVESavannah, GA 31404-6220
Mailing Address4700 Waters AveSavannah, GA 31404-6220
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1679446322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 13169
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4700 WATERS AVE, Savannah, GA 31404

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

Haley Wilson 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 ID8426523796
PECOS Enrollment IDI20260406000830
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.

Hospital Affiliations CMS Care Compare

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

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31404 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

Pediatrics (Physician Nutrition Specialist)
4700 WATERS AVE
SAVANNAH, GA 31404
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Obstetrics & Gynecology
4700 WATERS AVE, SUITE CAM 500
SAVANNAH, GA 31404
Specialist/Technologist (Athletic Trainer)
4700 WATERS AVE
SAVANNAH, GA 31404
General Practice
4700 WATERS AVE
SAVANNAH, GA 31404
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Surgery (Surgical Critical Care)
4700 WATERS AVE
SAVANNAH, GA 31404
Emergency Medicine
4700 WATERS AVE
SAVANNAH, GA 31404

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 Haley Wilson's NPI number?

The NPI number for Haley Wilson is 1679446322. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Haley Wilson located?

Haley Wilson practices at 4700 Waters Ave, Savannah, GA 31404. The listed phone number is (912) 350-8449.

What is Haley Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Haley Wilson enrolled in Medicare?

Yes. Haley Wilson 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 Haley Wilson affiliated with any hospitals?

According to CMS data, Haley Wilson is affiliated with Memorial University Medical Center.

When was this NPI record last updated?

The NPPES record for Haley Wilson was last updated on September 29, 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.