Donna Wieczorek

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

100 Glendalough CT Ste E
Tyrone, GA 30290-2942

Phone

(770) 683-9375

NPI assigned

Mar 14, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1326541525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 REDLEVEL WALK",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656207",
            "telephone_number": "770-683-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLENDALOUGH CT STE E",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902942",
            "telephone_number": "770-683-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECZOREK",
        "first_name": "DONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeshenna Jamill Watkins, M.D.
• We Are Back on Track LLC
• Adrienne Louise Weisz, OTR/L
• Jodian White
• Courtney Whitener, RBT
• William C. Lambert M.D. (Tyrone Family Medicine)
• Bridgette Williams, R.N.
• Ethan Williams
• Lunden Williams
• Stephane A. Williams, RN

• Counselor in Tyrone, GA
• Providers in Tyrone, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.