NICOLAS A. WIEDER DO
NPI 1467500322
Pain Medicine - Pain Medicine in Kennesaw, GA
About Nicolas A. Wieder Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLAS A. WIEDER DO (NPI 1467500322) is an individual pain medicine provider in Kennesaw, Georgia, licensed in Georgia (075400) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
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
Nicolas A. Wieder Do 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 Reassignments
2Medicare enrollment records show Nicolas Wieder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Alaska 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
KENNESAW, GA 30144
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 Nicolas Wieder's NPI number?
The NPI number for Nicolas Wieder is 1467500322. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is Nicolas Wieder located?
Nicolas Wieder practices at 750 Townpark Lane Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144. The listed phone number is (818) 375-2000.
What is Nicolas Wieder's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Nicolas Wieder enrolled in Medicare?
Yes. Nicolas Wieder 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 organizations bill Medicare for Nicolas Wieder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Wieder reassigns Medicare benefits to 2 organizations: The Southeast Permanente Medical Group (Atlanta, GA) and Neuroversion (Anchorage, AK). Each 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 Nicolas Wieder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicolas Wieder accept?
Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicolas Wieder 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 Nicolas Wieder was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Nicolas A. Wieder, DO · NPI 1467500322
Pain Medicine physician in Kennesaw, Georgia. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1467500322 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **State license:** 075400 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 TOWNPARK LANE, KAISER PERMANENTE TOWNPARK MEDICAL CENTER, Kennesaw, GA 30144
- **Phone:** (818) 375-2000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA); Neuroversion (NPI 1487102208, Anchorage, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** December 2, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1467500322) · Data from the CMS NPPES public registry.