Active NPI
Peter Wrobel, M.D
- Family Medicine Physician
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 040285
- Practice address
- 1718 Reynolds Street
Waycross, GA 31501-4574 - Phone
- (912) 283-1359
- Fax
- (912) 283-1362
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 040285 | GA | Primary |
Addresses
Primary practice location
1718 Reynolds Street
Waycross, GA 31501-4574
Mailing address
1718 Reynolds Street
Waycross, GA 31501-4574
Phone (912) 283-1359
Other practice location 1
1710 Reynolds Street
Waycross, GA 31501-3150
Phone (912) 283-1359
Other practice location 2
1720 Reynolds Street
Waycross, GA 31501-3150
Phone (912) 283-1359
Other practice location 3
632 Ferncrest Dr
Sandersville, GA 31082-1863
Phone (912) 283-1359
Other practice location 4
1230 Bald Ridge Marina Rd Ste 500
Cumming, GA 30041-7536
Phone (678) 513-1600
Other practice location 5
1230 Bald Ridge Marina Rd Ste 550
Cumming, GA 30041-7536
Phone (470) 695-7264
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000672339F | Medicaid | GA | |
| 000672339E | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1720 Old Reynolds St
Waycross, GA 31501-1036
Phone 9122831359185
Hospital & facility affiliations
- Amedisys Home Health
- Memorial Satilla Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.41 of 100
- Quality
- 99.47
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 427 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040285 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter Wrobel MD PC | Family Medicine | Current | Accepting new patients |
| Southeast Georgia Primary Care | Family Medicine | Current | Accepting new patients |
Locations
100 Liberty Blvd
Ste 110
Canton, GA 30114
Phone (678) 513-1600
636 E Main St
Cartersville, GA 30121
Phone (678) 568-7858
1230 Bald Ridge Marina Rd
Ste 500
Cumming, GA 30041
Phone (678) 513-1600
632 Ferncrest Dr
Sandersville, GA 31082
Phone (478) 552-0966
1718 Old Reynolds St
Waycross, GA 31501
Phone 9122831359200
409 Uvalda St
Waycross, GA 31501
Phone (229) 391-3500
1720 Old Reynolds St
Waycross, GA 31501
Phone (912) 809-6401
1507 Alice St
Waycross, GA 31501
Phone (912) 283-7220
Interoperability endpoints
- peter.wrobel.1@27501.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Waycross, GA
- NPI 1063654929
-
- Family Medicine Physician
- Waycross, GA
- NPI 1053429688
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Waycross, GA
- NPI 1316120322
-
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1396761987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 REYNOLDS STREET",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014574",
"telephone_number": "912-283-1359",
"fax_number": "912-283-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 REYNOLDS STREET",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014574",
"telephone_number": "912-283-1359",
"fax_number": "912-283-1362"
}
],
"practiceLocations": [
{
"address_1": "1710 Reynolds Street",
"address_purpose": "LOCATION",
"city": "Waycross",
"state": "GA",
"postal_code": "315013150",
"country_code": "US",
"telephone_number": "912-283-1359",
"fax_number": "912-283-1359",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1720 Reynolds Street",
"address_purpose": "LOCATION",
"city": "Waycross",
"state": "GA",
"postal_code": "315013150",
"country_code": "US",
"telephone_number": "912-283-1359",
"fax_number": "912-283-1359",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "632 Ferncrest Dr",
"address_purpose": "LOCATION",
"city": "Sandersville",
"state": "GA",
"postal_code": "310821863",
"country_code": "US",
"telephone_number": "912-283-1359",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1230 Bald Ridge Marina Rd Ste 500",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300417536",
"country_code": "US",
"telephone_number": "678-513-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1230 Bald Ridge Marina Rd Ste 550",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300417536",
"country_code": "US",
"telephone_number": "470-695-7264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WROBEL",
"first_name": "PETER",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "040285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000672339F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000672339E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.