DR. ANNA WISE PHD
NPI 1013410398
Psychologist - Clinical in Atlanta, GA

Active since March 13, 2018PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
12 EXECUTIVE PARK DR NE STE 300, ATLANTA, GA 30329(404) 727-4592(330) 678-3677 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2022, Mar 13, 2018 (2 updates tracked since 2018).

About Dr. Anna Wise Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANNA WISE PHD (NPI 1013410398) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (PSY004597) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013410398
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANNA WISECredential: PHD
Location Address12 EXECUTIVE PARK DR NE STE 300Atlanta, GA 30329-2206
Mailing Address12 Executive Park Dr Ne Ste 300Atlanta, GA 30329-2206 · (404) 727-4592 · Fax (330) 678-3677
Fax(330) 678-3677
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 13, 2018
Last NPPES UpdateMay 3, 20222 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
✔ NPI 1013410398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · PSY004597
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
12 EXECUTIVE PARK DR NE STE 300, Atlanta, GA 30329

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anna Wise Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941682454
PECOS Enrollment IDI20220801000210
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Anna Wise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329
Social Worker (Clinical)
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329
Psychologist
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329
Psychologist
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 300, DEPARTMENT OF PSYCHIATRY
ATLANTA, GA 30329
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329
Social Worker (Clinical)
12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anna Wise's NPI number?

The NPI number for Anna Wise is 1013410398. It was assigned to this individual provider in the NPPES registry on March 13, 2018.

Where is Anna Wise located?

Anna Wise practices at 12 Executive Park Dr NE Ste 300, Atlanta, GA 30329. The listed phone number is (404) 727-4592.

What is Anna Wise's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Anna Wise enrolled in Medicare?

Yes. Anna Wise is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Anna Wise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Wise reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anna Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Wise accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Anna Wise as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anna Wise was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.