Individual provider Active NPI

Wendy Latrice Wright, MD

  • Family Medicine Physician
  • Stockbridge, GA
National Provider Identifier
1386642684
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
052658 Issued in GA
Practice address
3579 Highway 138 SE Ste 103
Stockbridge, GA 30281-4127
Phone
(770) 629-4374
Fax
(678) 545-1735
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 052658 GA Primary

Addresses

Primary practice location

3579 Highway 138 SE Ste 103
Stockbridge, GA 30281-4127

Mailing address

3579 Highway 138 SE Ste 103
Stockbridge, GA 30281-4127
Phone (770) 629-4374

Other practice location 1

1231 Eagles Landing Pkwy
Suite A
Stockbridge, GA 30281-5013
Phone (404) 207-1860

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
I20050225000035 GA Practitioner - Family Practice 5991758369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Southern Crescent Medical Center, LLCGroup PAC ID 9032541289, 2 clinicians

Practice addresses (Care Compare)

3579 Hwy 138 SE
Suite 103
Stockbridge, GA 30281-4127
Phone (770) 629-4374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052658GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Georgia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Southern Crescent Medical Center, LLC Family Medicine CurrentSince Jan 18, 2021 Accepting new patients
Endocrine Specialists of Georgia, LLC PastSince Nov 8, 2020 Accepting new patients
Stockbridge Family Care Center Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

3371 Buford Hwy NE
Brookhaven, GA 30329
Phone (404) 419-0180

2124 Candler Rd
Decatur, GA 30032
Phone (404) 836-0272

2084 Headland Dr
East Point, GA 30344
Phone (404) 419-0184

1331 Mount Zion Rd
Morrow, GA 30260
Phone (404) 419-0184

3579 Highway 138 SE
Ste 103
Stockbridge, GA 30281
Phone (770) 629-4374

Organizations & group practices 4

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1386642684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 HIGHWAY 138 SE STE 103",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814127",
            "telephone_number": "770-629-4374",
            "fax_number": "678-545-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 HIGHWAY 138 SE STE 103",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814127",
            "telephone_number": "770-629-4374",
            "fax_number": "678-545-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 Eagles Landing Pkwy",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302815013",
            "country_code": "US",
            "telephone_number": "404-207-1860",
            "fax_number": "404-207-1864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "WENDY",
        "middle_name": "LATRICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "052658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.