MRS. KATHRYN DUDLEY WILEY ACPNP-C
NPI 1780475970
Nurse Practitioner in Columbus, GA

Q: What is Kathryn Wiley's NPI number?

The NPI number for Kathryn Wiley is 1780475970. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Q: What is Kathryn Wiley'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 Kathryn Wiley was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 15, 2025PECOS Enrolled

710 CENTER ST, COLUMBUS, GA 31901(706) 571-1311 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Kathryn Dudley Wiley Acpnp-c NPPES

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

MRS. KATHRYN DUDLEY WILEY ACPNP-C (NPI 1780475970) is an individual nurse practitioner in Columbus, Georgia, licensed in Georgia (RN198139) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Douglasville, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1780475970

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KATHRYN DUDLEY WILEYCredential: ACPNP-C

Location Address710 CENTER STColumbus, GA 31901-1527

Mailing Address124 Sweetwater Bridge CirDouglasville, GA 30134-5503 · (251) 895-5914

Phone(706) 571-1311

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 15, 2025

Last NPPES UpdateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1780475970 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 · RN198139

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 · PediatricsTaxonomy 363LP0200X · License RN198139 (GA)

710 CENTER ST, Columbus, GA 31901

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Secondary Practice Location 1

Location 1124 Sweetwater Bridge CirDouglasville, GA 30134-5503 · Phone (251) 895-5914

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathryn Dudley Wiley Acpnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709374143

PECOS Enrollment IDI20251018000648

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 31901 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

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

DR. NISHANT MICHAEL DE QUADROS M.D.

Radiology (Diagnostic Radiology)

710 CENTER ST, THE MEDICAL CENTER
COLUMBUS, GA 31901

Muscogee County (706) 501-1000

ARNOLD NONGMOH FORLEMU MD

Internal Medicine (Gastroenterology)