STACIE LINN WONG MD
NPI 1861454753
Anesthesiology in Marietta, GA

Q: What is Stacie Wong's NPI number?

The NPI number for Stacie Wong is 1861454753. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Stacie Wong's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacie Wong was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 05, 2006PECOS EnrolledAccepts Medicare Assignment

2540 WINDY HILL RD SE, MARIETTA, GA 30067(470) 644-1274(470) 644-1119 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2024, Nov 14, 2022 (2 updates tracked since 2022).

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About Stacie Linn Wong Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIE LINN WONG MD (NPI 1861454753) is an individual anesthesiology provider in Marietta, Georgia, licensed in Georgia (033760) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Fairview Park Hospital, and maintains a secondary practice location in Vidalia.

NPPES Registry Identity

NPI1861454753

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameSTACIE LINN WONGCredential: MD

Location Address2540 WINDY HILL RD SEMarietta, GA 30067-8605

Mailing Address2540 Windy Hill Rd SeMarietta, GA 30067-8605 · (470) 644-1274 · Fax (470) 644-1119

Phone(470) 644-1274

Fax(470) 644-1119

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1988

Enumeration DateApril 5, 2006

Last NPPES UpdateJune 20, 20242 updates tracked since enumeration

NPPES CertifiedJune 20, 2024

✔ NPI 1861454753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in GA · 033760

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

2540 WINDY HILL RD SE, Marietta, GA 30067

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Secondary Practice Location 1

Location 11 Meadows PkwyVidalia, GA 30474-8759 · Phone (912) 538-5359 · Fax (912) 538-5228

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource.Insurance ›

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

Stacie Linn Wong 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.

PECOS PAC ID2163400524

PECOS Enrollment IDI20040712000793

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.

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA

5/5 CMS rating

OwnershipProprietary

CMS Certification Number110125

Location200 Industrial BoulevardDublin, GA 31021 · Laurens County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

NAZIM ALI SYED MD

Hospitalist