DEANNA M WILDES (RN, BSN) – Nurse Practitioner, NPI 1003199480
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for DEANNA M WILDES (RN, BSN)
PO BOX 116336
ATLANTA, GA 303686336
Phone: (912) 352-8346
Fax: (912) 355-1414
Type: Mailing
4750 WATERS AVENUE
SUITE 500
SAVANNAH, GA 314046261
Phone: (912) 352-8346
Fax: (912) 355-1414
Type: Location
166 Memorial Dr
Jesup, GA 315450101
Phone: (912) 352-8346
Type: Location
104 Charles Andrew Dr Unit 124
Vidalia, GA 304747241
Phone: (912) 352-8346
Fax: (912) 355-5515
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $284.
Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($170).
Total Amount
$284
General + Research + Ownership
Payments
13
Total payment records
General Amount
$284
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $170 |
| Organogenesis Inc. | $74 |
| Smith+Nephew, Inc. | $28 |
| Kerecis Limited | $12 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111109000595 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 90 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 32 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 30368)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery, General Surgery | GA | |
| Vascular Surgery | GA | |
| Interventional Radiology, Diagnostic Radiology | GA | |
| Vascular Surgery | GA | |
| General Surgery | GA | |
| Interventional Radiology, Diagnostic Radiology | GA | |
| - | GA | |
| Vascular Surgery | GA | |
| Interventional Radiology, Diagnostic Radiology | GA | |
| Vascular Surgery | GA |
Reviews
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