DR. MELORA WILEY M.D.
NPI 1942646161
Psychologist - Clinical Child & Adolescent in Jackson, MS

Q: What is Melora Wiley's NPI number?

The NPI number for Melora Wiley is 1942646161. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Q: What is Melora Wiley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Melora Wiley was last updated on September 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 14, 2013PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-5239 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2020, Oct 22, 2019, May 9, 2017 and 1 more (4 updates tracked since 2017).

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About Dr. Melora Wiley M.d. NPPES

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

DR. MELORA WILEY M.D. (NPI 1942646161) is an individual clinical child & adolescent provider in Jackson, Mississippi, licensed in Mississippi (27-131) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942646161

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. MELORA WILEYCredential: M.D.

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State St, Cbo-suite 4200Jackson, MS 39216-4500 · (601) 984-9697

Phone(601) 984-5239

Sole ProprietorYes

Enumeration DateMay 14, 2013

Last NPPES UpdateSeptember 28, 20204 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2020

✔ NPI 1942646161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in MS · 27-131

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License 27131 (MS)

2500 N STATE ST, Jackson, MS 39216

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melora Wiley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)