BENJAMIN RUSSELL WIENER MD
NPI 1104405455
Pain Medicine - Pain Medicine in Canton, GA
About Benjamin Russell Wiener Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN RUSSELL WIENER MD (NPI 1104405455) is an individual pain medicine provider in Canton, Georgia, licensed in Georgia (112076) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cartersville, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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
Benjamin Russell Wiener Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Wiener reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canton, GA 30114
- Reassigned Medicare billing, Georgia enrollment
- 5 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 30114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Benjamin Wiener's NPI number?
The NPI number for Benjamin Wiener is 1104405455. It was assigned to this individual provider in the NPPES registry on April 5, 2021.
Where is Benjamin Wiener located?
Benjamin Wiener practices at 1320 Oakside Dr Ste 203, Canton, GA 30114. The listed phone number is (770) 479-2322.
What is Benjamin Wiener's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Benjamin Wiener enrolled in Medicare?
Yes. Benjamin Wiener 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 Benjamin Wiener's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Wiener reassigns Medicare benefits to North Georgia Pain Clinic (Canton, 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 Benjamin Wiener's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Wiener accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Benjamin Wiener 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 Benjamin Wiener was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.
# Benjamin Russell Wiener, MD · NPI 1104405455
Pain Medicine physician in Canton, Georgia. Individual provider, active in the CMS NPPES registry since April 5, 2021.
## Identity
- **NPI:** 1104405455 (Entity type: Individual)
- **Enumerated:** April 5, 2021
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **State license:** 112076 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1320 OAKSIDE DR STE 203, Canton, GA 30114-2475
- **Phone:** (770) 479-2322 · **Fax:** (770) 720-7695
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Georgia Pain Clinic (NPI 1326137100, Canton, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104405455) · Data from the CMS NPPES public registry.