Individual provider Active NPI

Peixin Wang, CRNA

  • Certified Registered Nurse Anesthetist
  • Marietta, GA
National Provider Identifier
1144874074
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN236953 Issued in GA
Practice address
668 Roxton LN SW
Marietta, GA 30064-2996
Phone
(678) 779-9850
NPI assigned
Jul 29, 2019
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN236953 GA Primary
Registered Nurse 163W00000X RN236953 GA
Registered Nurse 163W00000X 290433 NC

Addresses

Primary practice location

668 Roxton LN SW
Marietta, GA 30064-2996

Mailing address

668 Roxton LN SW
Marietta, GA 30064-2996
Phone (678) 779-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191126002545 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113350497 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Duke University School of Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
TMC-West Georgia Anesthesia Associates Inc.Group PAC ID 2365456308, 67 clinicians

Practice addresses (Care Compare)

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004

677 Church Nest
Marietta, GA 30060-1101

677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585

705 Dixie St
Carrollton, GA 30117-3818
Phone (800) 232-5703

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
290433NCMDRegistered Nurse
RN236953GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Solutions of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Woodhams Laser & Lens Implant Center LLC CurrentSince Feb 16, 2024 Accepting new patients
Radius Surgery Center LLC CurrentSince Mar 1, 2024 Accepting new patients
Ahs Surgery Center Canton LLC CurrentSince Mar 1, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jun 1, 2024 Accepting new patients
Atlanta Hand Specialist Surgery Center LLC CurrentSince Mar 1, 2024 Accepting new patients
Ahs Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Mulkey Anesthesiology Associates LLC CurrentSince Mar 1, 2024 Accepting new patients
Atlanta Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 16, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Carpus Surgery Center LLC CurrentSince Mar 1, 2024 Accepting new patients
CSP Anesthesia LLC CurrentSince Feb 1, 2024 Accepting new patients
TMC-West Georgia Anesthesia Associates Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2019 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Mar 1, 2024 Accepting new patients
Ulna Surgery Center LLC CurrentSince Mar 1, 2024 Accepting new patients
Perimeter Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Lunate Surgery Center CurrentSince Mar 1, 2024 Accepting new patients
Roswell Eye Surgery Center, LLC PastSince Dec 28, 2015 Accepting new patients

Locations

3193 Howell Mill Rd NW
Ste 317
Atlanta, GA 30327
Phone (404) 603-9090

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 732-3649

3870 Medical Park Dr
Ste 100
Austell, GA 30106

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

201 Kimberly Way
Ste 100
Canton, GA 30114

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

10730 Medlock Bridge Rd
Ste 210
Johns Creek, GA 30097

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

600 Professional Dr
Ste 150
Lawrenceville, GA 30046
Phone (678) 376-1800

3775 Roswell Rd
Ste 175
Marietta, GA 30062

3775 Roswell Rd
Ste 275
Marietta, GA 30062

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

5505 Roswell Rd
Ste 350
Sandy Springs, GA 30342
Phone (470) 827-3648

6115 Peachtree Dunwoody Rd
Ste 230
Sandy Springs, GA 30328

3968 Felton Hill Rd SW
Ste 100
Smyrna, GA 30082
Phone (678) 214-6960

3968 Felton Hill Rd SW
Ste 110
Smyrna, GA 30082

1365 Rock Quarry Rd
Ste 301
Stockbridge, GA 30281
Phone (770) 380-8299

165 N Park Trl
Ste 100
Stockbridge, GA 30281
Phone (770) 506-1800

403 Permian Way
Ste D
Villa Rica, GA 30180
Phone (470) 827-3648

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1144874074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 ROXTON LN SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642996",
            "telephone_number": "678-779-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 ROXTON LN SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642996",
            "telephone_number": "678-779-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "PEIXIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN236953",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN236953",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "290433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.