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

Kimberly Lauren Wiley, NP

Individual provider Family Nurse Practitioner · NPI 1386279362

Kimberly Lauren Wiley, NP is a Nurse Practitioner in Cumming, Georgia. Qualified in 2019, 7 years ago. Practices with Northside Cardiovascular Professional Services, LLC, a 142-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3970 Deputy Bill Cantrell Mem Ste 100
Cumming, GA 30040-3069
Phone: (678) 513-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1266 Highway 515 S, Jasper, GA 30143-4872 — (706) 692-2441

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 184643 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 184643 (GA)

Record details

NPI number1386279362
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 10, 2020
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northside Cardiovascular Professional Services, Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Cumming