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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BENJAMIN RUSSELL WIENER MD
NPI 1104405455
Psychiatry & Neurology - Neurology in Canton, GA

Active since April 05, 2021PECOS Enrolled
1320 OAKSIDE DR STE 203, CANTON, GA 30114(770) 479-2322(770) 720-7695 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 2, 2026, Apr 5, 2021 (2 updates tracked since 2021).

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 neurology provider in Canton, Georgia, licensed in Georgia (112076) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104405455
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameBENJAMIN RUSSELL WIENERCredential: MD
Location Address1320 OAKSIDE DR STE 203Canton, GA 30114-2475
Mailing Address1320 Oakside Dr Ste 203Canton, GA 30114-2475 · (770) 479-2322 · Fax (770) 720-7695
Phone(770) 479-2322
Fax(770) 720-7695
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 5, 2021
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1104405455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in GA · 112076
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 112076 (GA)
1320 OAKSIDE DR STE 203, Canton, GA 30114
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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 (PECOS)

Benjamin Russell Wiener Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850795592
PECOS Enrollment IDI20260722004131
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 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.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

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 Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Benjamin Wiener enrolled in Medicare?

Yes. Benjamin Wiener is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Wiener was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.