Daniel Kyle Wiesman

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

2165 N Decatur Rd
Decatur, GA 30033-5307

Phone

(404) 778-1284

NPI assigned

Jul 19, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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

• Florida Clinical Practice Association Inc

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768
  NPD (past)

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1043508583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335307",
            "telephone_number": "404-778-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335307",
            "telephone_number": "404-778-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESMAN",
        "first_name": "DANIEL",
        "middle_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whole Body Concept Chiropratic
• Whole Family Medicine, LLC
• Whole Hearted Care, Inc
• Wholeness Within LLC
• Titia Delores Widener-Williams, NP
• Kayla Wiggins, RN
• William Wilcox
• Richard Edward Wild, M.D.
• Cometa Wilder, LCSW
• Albert Wildstein, MD

• Genetic Counselor (M.S.) in Decatur, GA
• Providers in Decatur, GA by specialty
• Genetic Counselor (M.S.) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.