TRACY MARIE WISE PA-C
NPI 1881317956
Physician Assistant in Atlanta, GA

Q: What is Tracy Wise's NPI number?

The NPI number for Tracy Wise is 1881317956. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Q: What is Tracy Wise's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Wise was last updated on April 23, 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 September 22, 2022PECOS EnrolledAccepts Medicare Assignment

80 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 616-1000 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Apr 23, 2024, Sep 22, 2022 (2 updates tracked since 2022).

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About Tracy Marie Wise Pa-c NPPES

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

TRACY MARIE WISE PA-C (NPI 1881317956) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (12275) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of University Of Maryland School Of Medicine (2018).

NPPES Registry Identity

NPI1881317956

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTRACY MARIE WISECredential: PA-C

Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3031

Mailing Address80 Jesse Hill Jr Dr SeAtlanta, GA 30303-3031 · (404) 616-1000

Phone(404) 616-1000

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2018

Enumeration DateSeptember 22, 2022

Last NPPES UpdateApril 23, 20242 updates tracked since enumeration

NPPES CertifiedNovember 14, 2023

✔ NPI 1881317956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 12275

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

80 JESSE HILL JR DR SE, Atlanta, GA 30303

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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 and accepts Medicare assignment

Tracy Marie Wise Pa-c 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 ID2961842851

PECOS Enrollment IDI20240425001182

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. SHANNON WALKER IKE MD

Internal Medicine (Cardiovascular Disease)