Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey Ryan Wicker

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1245990787

Jeffrey Ryan Wicker is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

275 Collier Rd NW Ste 300
Atlanta, GA 30309-1740
Phone: (404) 350-0009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 951 Glenwood Ave Se Unit 1710, Atlanta, GA 30316-1890 — (404) 387-3012

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 192893 (GA)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence 192893 (GA)

Record details

NPI number1245990787
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 24, 2021
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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