VICKI WILD-MCLEOD (NP-C) – Family Nurse Practitioner, NPI 1104229657
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for VICKI WILD-MCLEOD (NP-C)
4700 Waters Ave
Savannah, GA 314046220
Phone: (912) 350-1092
Type: Location
4700 WATERS AVE
SAVANNAH, GA 314046220
Phone: (912) 350-1092
Type: Mailing
8 HOSPITAL CENTER BLVD STE 130
HILTON HEAD, SC 299268701
Phone: (843) 682-2800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20221212000740 | I | Nurse Practitioner | GA | TBD |
| I20251209000278 | I | Nurse Practitioner | SC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | SC | |
| Internal Medicine, Hospitalist | SC | |
| Physician Assistant | SC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | SC | |
| General Surgery | NC | |
| Orthopedic Surgery | NC | |
| Physician Assistant | SC | |
| General Surgery | SC | |
| Internal Medicine | SC | |
| Nurse Practitioner | SC |
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