MAIRI DEAN WILES (CNM) – Midwife, NPI 1467017194

MAIRI DEAN WILES (CNM) is a healthcare provider. based in Lawrenceville, Georgia. specializing in Midwife. They hold the professional credentials CNM. They hold a License No. RN223144 (GA). The NPI Number for MAIRI DEAN WILES (CNM) is 1467017194

Main info

Female
Name
MAIRI DEAN WILES (CNM)
NPI
1467017194
Phone
Not provided
Address
2169 LAWRENCEVILLE HWY
Enumeration Date
8 May 2019
Last Update Date
9 May 2022

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Secure Messaging
mairi.d.wiles@kp.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MAIRI DEAN WILES (CNM)

  • Lawrenceville Highway, Lawrenceville, Gwinnett County, Georgia, 30084, United States

    LAWRENCEVILLE, GA 300447710

    Phone:

    Type: Mailing

  • 3495 PIEDMONT RD NE

    ATLANTA, GA 303051717

    Phone: (404) 364-4776

    Fax: (866) 232-0314

    Type: Mailing

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: 2024-04-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240419000944ICertified Nurse Midwife (Cnm)GATBD

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.

Verify on CMS Revalidation Lookup Tool

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 30044)

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Reviews

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Frequently asked questions

What is MAIRI DEAN WILES (CNM)'s NPI number?
MAIRI DEAN WILES (CNM)'s NPI is 1467017194 — the number used across U.S. healthcare to identify this provider.
Is MAIRI DEAN WILES (CNM) shown as active in public data?
Registry records indicate MAIRI DEAN WILES (CNM) maintains an active NPI.
What clinical focus is listed for MAIRI DEAN WILES (CNM)?
At a glance, MAIRI DEAN WILES (CNM) is tied to Midwife. Clinical services aligned with this taxonomy classification.
Is MAIRI DEAN WILES (CNM) associated with Lawrenceville?
Public fields place MAIRI DEAN WILES (CNM) around Lawrenceville, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MAIRI DEAN WILES (CNM) is noted as May 8, 2019 where the registry provides it.

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