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

Q: 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.

Q: What is Anna Wise's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

Phone(404) 727-4592

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

JESSICA MAPLES KELLER PHD

Psychologist

12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329

Dekalb County (404) 778-2017

MS. ELIZABETH LYNN CARBONE M.S.W.

Social Worker (Clinical)

12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329

Dekalb County (888) 514-5345

ANDREW MICHAEL SHERRILL PHD

Psychologist

12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329

Dekalb County (404) 727-7296

LAURA LOUCKS PHD

Psychologist

12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329

Dekalb County (404) 712-9788

DR. RAHUL GUPTA M.D.

Psychiatry & Neurology (Psychiatry)

12 EXECUTIVE PARK DR NE STE 300, DEPARTMENT OF PSYCHIATRY
ATLANTA, GA 30329

Dekalb County (404) 727-3886

DR. REBECCA JO WOO MD

Psychiatry & Neurology (Psychiatry)

12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329

Dekalb County (404) 778-5526

GISELLE REMY-BRYAN LCSW

Social Worker (Clinical)

12 EXECUTIVE PARK DR NE STE 300
ATLANTA, GA 30329

Dekalb County (404) 778-0669

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.

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.