THERESA WANG M.D.
NPI 1023174901
Surgery - Plastic and Reconstructive Surgery in Atlanta, GA
About Theresa Wang M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA WANG M.D. (NPI 1023174901) is an individual plastic and reconstructive surgery provider in Atlanta, Georgia, licensed in Georgia (070000) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa Wang M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30327
ATLANTA, GA 30327
ATLANTA, GA 30327
ATLANTA, GA 30327
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 Theresa Wang's NPI number?
The NPI number for Theresa Wang is 1023174901. It was assigned to this individual provider in the NPPES registry on December 28, 2006.
Where is Theresa Wang located?
Theresa Wang practices at 1218 W Paces Ferry Rd NW, Atlanta, GA 30327. The listed phone number is (404) 480-4888.
What is Theresa Wang's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Theresa Wang enrolled in Medicare?
Yes. Theresa Wang is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Theresa Wang was last updated on July 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Theresa Wang, M.D. · NPI 1023174901
Plastic and Reconstructive Surgery physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since December 28, 2006.
## Identity
- **NPI:** 1023174901 (Entity type: Individual)
- **Enumerated:** December 28, 2006
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 070000 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1218 W PACES FERRY RD NW, Atlanta, GA 30327-2308
- **Phone:** (404) 480-4888
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 29, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1023174901) · Data from the CMS NPPES public registry.