Organization Active NPI

Wise Choice IV Infusion Center

  • Infusion Therapy Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1184314114
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
WISE CHOICE IV INFUSION CENTER
Practice address
11785 Northfall LN Ste 505
Alpharetta, GA 30009-7961
Phone
(833) 294-7348
Fax
(770) 302-0643
NPI assigned
May 12, 2023
Last updated
May 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WISE IMAGE ENHANCEMENT SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Dr. Thomas Locke, MDNPI 1558595066
Title
Medical Director / Managing Member
Phone
(404) 308-8159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X NU Primary

Addresses

Primary practice location

11785 Northfall LN Ste 505
Alpharetta, GA 30009-7961

Mailing address

11785 Northfall LN Ste 505
Alpharetta, GA 30009-7961
Phone (833) 294-7348

Other names 1

  • Wise Image Enhancement Services, LLC Other name

National Provider Directory

National Provider Directory

Locations

11785 Northfall Ln
Ste 505
Alpharetta, GA 30009
Phone (678) 393-0012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1184314114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11785 NORTHFALL LN STE 505",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097961",
            "telephone_number": "833-294-7348",
            "fax_number": "770-302-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11785 NORTHFALL LN STE 505",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097961",
            "telephone_number": "833-294-7348",
            "fax_number": "770-302-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE CHOICE IV INFUSION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WISE IMAGE ENHANCEMENT SERVICES, LLC",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / MANAGING MEMBER",
        "authorized_official_telephone_number": "404-308-8159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Image Enhancement Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.