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

Mrs. Kathryn Dudley Wiley, ACPNP-C

Individual provider Pediatric Nurse Practitioner · NPI 1780475970

Mrs. Kathryn Dudley Wiley, ACPNP-C is a Nurse Practitioner in Columbus, Georgia. Qualified in 2005, 21 years ago. Works from 2 locations. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

710 Center St
Columbus, GA 31901-1527
Phone: (706) 571-1311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 124 Sweetwater Bridge Cir, Douglasville, GA 30134-5503 — (251) 895-5914

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN198139 (GA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN198139 (GA)

Record details

NPI number1780475970
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACPNP-C
Sole proprietorNo
NPI enumeratedMay 15, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

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