Individual provider Active NPI

Gigi Denean Bell-Wade, M.D.

  • Pain Medicine Physician
  • Mableton, GA
National Provider Identifier
1366564270
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
042524 Issued in GA
Practice address
4955 Ridge Oak Run SE
Mableton, GA 30126-5925
Phone
(770) 819-1635
Fax
(770) 819-1635
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 042524 GA Primary

Addresses

Primary practice location

4955 Ridge Oak Run SE
Mableton, GA 30126-5925

Mailing address

PO Box 1187
Mableton, GA 30126-1003
Phone (770) 819-1635

Other identifiers 1

IdentifierTypeStateIssuer
00720926BMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101118000414 GA Practitioner - Anesthesiology 8628051430 Reassigns benefits to 1 organization
Practice locations: Mableton, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1366564270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261003",
            "telephone_number": "770-819-1635",
            "fax_number": "770-819-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 RIDGE OAK RUN SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265925",
            "telephone_number": "770-819-1635",
            "fax_number": "770-819-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL-WADE",
        "first_name": "GIGI",
        "middle_name": "DENEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "042524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00720926B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

Verify at the official NPI Registry.