Mrs Latoya Leigh Wise, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fayetteville, GA

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Mrs Latoya Leigh Wise, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fayetteville, Georgia. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Emory Specialty Associates, Llc, Gi Anesthesia Of Georgia Llc, Piedmont Anesthesia Llc, Sleep Ezzy and her current practice location is 180 Victoria Dr, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 379-7052.

Mrs Latoya Leigh Wise is licensed to practice in Texas (license number AP134506) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831456284.

Contact Information

Mrs Latoya Leigh Wise, CRNA
180 Victoria Dr,
Fayetteville, GA 30214-1163
(404) 379-7052
Not Available

Map and Direction




Provider's Profile

Full NameMrs Latoya Leigh Wise
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location180 Victoria Dr, Fayetteville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Latoya Leigh Wise graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1831456284
  • Provider Enumeration Date: 04/23/2012
  • Last Update Date: 08/15/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3577727031
  • Enrollment ID: I20120613000166

Medical Identifiers

Medical identifiers for Mrs Latoya Leigh Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831456284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 161834 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered AP134506 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emory Decatur HospitalDecatur, GAHospital
Coliseum Medical Centers, Llc, DbaMacon, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emory Specialty Associates, Llc3476559782430
Gi Anesthesia Of Georgia Llc044651676995
Piedmont Anesthesia Llc2163837972155
Sleep Ezzy448692029521

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Latoya Leigh Wise allows following entities to bill medicare on her behalf.
Entity NameGastrointestinal Specialist Of Georgia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801975339
PECOS PAC ID: 9335032820
Enrollment ID: O20040206000897
Entity NameAu Medical Associates Anesthesia Billing Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801843933
PECOS PAC ID: 1557256393
Enrollment ID: O20040219000488
Entity NameAmbulatory Anesthesia Consultants, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033271481
PECOS PAC ID: 4486648698
Enrollment ID: O20040412000728
Entity NameEmory Specialty Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447
Entity NameGwinnett Physician Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578574661
PECOS PAC ID: 9133211139
Enrollment ID: O20070822001035
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311
Entity NameConcordia Anesthesiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619296464
PECOS PAC ID: 8325172885
Enrollment ID: O20100819000220
Entity NameProgressive Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215225560
PECOS PAC ID: 7618148263
Enrollment ID: O20110912000776
Entity NameWgg Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578843280
PECOS PAC ID: 4981875325
Enrollment ID: O20110915000641
Entity NameOracle Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629350566
PECOS PAC ID: 5395918098
Enrollment ID: O20111025000313
Entity NameNorthside Primary Care Professional Services,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922397553
PECOS PAC ID: 9638343924
Enrollment ID: O20111123000206
Entity NameAnesthesia Consultants Of Georgia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760752430
PECOS PAC ID: 0345400313
Enrollment ID: O20120328000888
Entity NameSg Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053750646
PECOS PAC ID: 3072757079
Enrollment ID: O20130912000589
Entity NameAu Anesthesiology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831440478
PECOS PAC ID: 0941437842
Enrollment ID: O20131223000682
Entity NameRg Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235553421
PECOS PAC ID: 1052543287
Enrollment ID: O20140422001220
Entity NameXenon Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366865123
PECOS PAC ID: 5597081067
Enrollment ID: O20150226001972
Entity NameGreater Atlanta Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285043158
PECOS PAC ID: 7315264645
Enrollment ID: O20150326000819
Entity NameCoastal Ambulatory Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750753786
PECOS PAC ID: 1052613023
Enrollment ID: O20160107001775
Entity NameSleep Ezzy
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154852820
PECOS PAC ID: 4486920295
Enrollment ID: O20171023003067
Entity NameGi Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326569187
PECOS PAC ID: 0446516769
Enrollment ID: O20171102000283
Entity NameSouthcare Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942713326
PECOS PAC ID: 0345504494
Enrollment ID: O20180522002496
Entity NameAnesthesia Surgical Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427587435
PECOS PAC ID: 3072868959
Enrollment ID: O20180618001140
Entity NamePremier Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811403207
PECOS PAC ID: 6608123724
Enrollment ID: O20180720001402
Entity NamePiedmont Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700474244
PECOS PAC ID: 2163837972
Enrollment ID: O20210208002823

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Latoya Leigh Wise is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Latoya Leigh Wise, CRNA
P.o. Box 650865,
Dallas, TX 75265-0865

Ph: (972) 233-1999		Mrs Latoya Leigh Wise, CRNA
180 Victoria Dr,
Fayetteville, GA 30214-1163

Ph: (404) 379-7052

Reviews and Comments


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David J Carlson, CRNA
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Mrs. Barbara F. Law, CRNA
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Practice Location: 1265 Hwy 54 W, Suite 401, Fayetteville, GA 30214
Phone: 800-951-7850    Fax: 843-491-4023
Mrs. Alison Key, PAAA
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Practice Location: 115 Edenton Estates Dr, Fayetteville, GA 30214
Phone: 770-487-1128    
Laura Jane Simmons, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 260 Lakemont Dr, Fayetteville, GA 30215
Phone: 770-363-1274    Fax: 770-716-1580

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.