Susan Carol Wieczorek, NP-C, CWOCN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN042301 NP Issued in GA

Practice address

808 21St St
Columbus, GA 31904-8817

Phone

(706) 321-3901

Fax

(706) 321-3904

NPI assigned

Nov 8, 2006

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Francis Physician Practices LLC

  dba St. Francis Primary Care

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1326749417
  Medicare reassignment NPD
• Our Lady of the Roses Primary Care

  • Migrant Health Clinic/Center
  • Columbus, GA
  • NPI 1205207933
  NPD
• St Francis Physician Practices LLC

  dba St. Francis Psychiatrists

  • Psychiatry Physician
  • Columbus, GA
  • NPI 1124493564
  NPD
• St. Francis Physician Practices LLC

  • Gastroenterology Physician
  • Columbus, GA
  • NPI 1609655646
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1013087386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY STE 2001A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-320-3126",
            "fax_number": "706-320-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 21ST ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048817",
            "telephone_number": "706-321-3901",
            "fax_number": "706-321-3904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Manchester Expy Ste H202",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319046803",
            "country_code": "US",
            "telephone_number": "706-320-3090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIECZOREK",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "credential": "NP-C, CWOCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN042301  NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000901106C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Allen Whitten, MD
• Anita Whittten, FNP
• Whole Patient Healthcare, LLC
• Whole Tree Dentistry, PC
• Jacquelyn Wickerham, RBT
• Alexis Marie Wiesner, RN
• Ericka D Wigfall, PT, DPT
• Dannieka Wiggins, RBT
• Jeremiah Wiggins
• Khaliah Wiggins

• Family Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.