Andrew Wang, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

079256 Issued in GA

Practice address

1057 Morningside Dr
Perry, GA 31069-2903

Phone

(478) 218-1801

NPI assigned

Mar 26, 2014

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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Macon, GA, CCN 117152
• Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

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.

• Southeast Medical Group, P.C.

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1235296054
  Medicare reassignment Care Compare group NPD
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Perry, GA
  • NPI 1891808499
  Medicare reassignment NPD
• Houston Primary Care Physicians LLC

  • Family Medicine Physician
  • Warner Robins, GA
  • NPI 1619314408
  Medicare reassignment NPD
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  NPD
• Houston Primary Care Physicians LLC

  • Family Medicine Physician
  • Perry, GA
  • NPI 1598279200
  NPD
• Houston Primary Care Physicians, LLC

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1134840309
  NPD
• Physician First Health Network

  • Public Health or Welfare Agency
  • Alpharetta, GA
  • NPI 1598558181
  NPD (past)

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

• Caresouth HHA Holdings of Middle Georgia, LLC

  • Home Health Agency
  • Macon, GA
  • NPI 1972762599
  Care Compare affiliation
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Perry, GA
  • NPI 1891808499
  Care Compare affiliation
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  Care Compare affiliation

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1336566561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N POINT PKWY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692903",
            "telephone_number": "478-218-1801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Watson Blvd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310933431",
            "country_code": "US",
            "telephone_number": "478-922-4281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "233 N Houston Rd Ste 140A",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310933023",
            "country_code": "US",
            "telephone_number": "478-923-2843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1118 HWY 96 W",
            "address_2": "SUITE 1",
            "address_purpose": "LOCATION",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472111",
            "country_code": "US",
            "telephone_number": "478-975-6890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 HWY 127",
            "address_purpose": "LOCATION",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472828",
            "country_code": "US",
            "telephone_number": "478-975-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 Keith Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "GA",
            "postal_code": "310694952",
            "country_code": "US",
            "telephone_number": "478-218-1801",
            "fax_number": "478-218-1808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "ANDREW",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "079256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003167609B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walker Family Healthcare, LLC
• Connie E. Thompson Walker, PHARM D
• James T. Walker III, D.O.
• Luke Walker, MD
• Washco Group Inc
• Amy K Way, M.ED., CCC-SLP
• Shelby Paige Wells
• Wellstreet of Georgia PC
• Wespark Family Dentistry, PC

• Family Medicine Physician in Perry, GA
• Providers in Perry, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.
• 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.