MS. HEATHER WHEATLEY NP-C
NPI 1780810226
Nurse Practitioner in Athens, GA

Q: What is Heather Wheatley's NPI number?

The NPI number for Heather Wheatley is 1780810226. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Q: What is Heather Wheatley'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 Heather Wheatley was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 June 10, 2009PECOS EnrolledAccepts Medicare Assignment

91.65/100

CMS Quality Rating

658 N CHASE ST STE 201, ATHENS, GA 30601(706) 353-2990(706) 353-2992 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2024, Nov 22, 2022, Nov 3, 2021 (3 updates tracked since 2021).

On this page

About Ms. Heather Wheatley Np-c NPPES

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

MS. HEATHER WHEATLEY NP-C (NPI 1780810226) is an individual nurse practitioner in Athens, Georgia, licensed in Georgia (RN170271) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1780810226

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. HEATHER WHEATLEYCredential: NP-C

Location Address658 N CHASE ST STE 201Athens, GA 30601-1960

Mailing Address3320 Old Jefferson Rd Bldg 800Athens, GA 30607-1400 · (706) 353-2990 · Fax (706) 353-2990

Phone(706) 353-2990

Fax(706) 353-2992

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 10, 2009

Last NPPES UpdateJuly 19, 20243 updates tracked since enumeration

NPPES CertifiedJuly 19, 2024

✔ NPI 1780810226 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 · RN170271

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 · FamilyTaxonomy 363LF0000X · License F0309174 (GA)

658 N CHASE ST STE 201, Athens, GA 30601

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Secondary Practice Locations 6

Location 1740 Prince Ave, Bldg 1BAthens, GA 30606-5908 · Phone (706) 549-5554 · Fax (706) 548-7056

Location 21010 Prince Ave Ste 300Athens, GA 30606-5805 · Phone (706) 425-1430

Location 3119 Harmony Xing Ste 1Eatonton, GA 31024-9571 · Phone (762) 220-1880 · Fax (762) 220-1181

Location 43320 Old Jefferson Rd Bldg 800Athens, GA 30607-1400 · Phone (706) 353-2990 · Fax (706) 353-2992

Location 54182 Highway 278 NECovington, GA 30014-2494 · Phone (678) 712-6921 · Fax (678) 712-6923

Location 6245 Floyd DrAthens, GA 30607-1469 · Phone (762) 356-4780 · Fax (706) 608-7597

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Ms. Heather Wheatley Np-c 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 ID5193869675

PECOS Enrollment IDI20100826000763

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

243 services205 patients

Measurement of lymphedema extracellular fluid 93702

The measurement of lymphedema extracellular fluid is a non-invasive procedure used to assess fluid buildup in tissues, often due to lymphatic system issues. It helps to monitor and manage conditions like lymphedema effectively.

51 services50 patients

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.

22 services22 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30601 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.

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.

91.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

1%89 patients1/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

3%62 patients1/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

7%89 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

24%98 patients1/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

3%65 patients1/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 9

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

REBEKAH SOROOSH CORLEY PA-C

Physician Assistant