Individual provider Active NPI

Monica Heidi Wichner, DO

  • Physical Medicine & Rehabilitation Physician
  • McDonough, GA
National Provider Identifier
1598758286
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
102881 Issued in GA
Practice address
2200 Patrick Henry Pkwy
McDonough, GA 30253-4207
Phone
(775) 443-2260
NPI assigned
Aug 26, 2005
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 102881 GA Primary

Addresses

Primary practice location

2200 Patrick Henry Pkwy
McDonough, GA 30253-4207

Mailing address

PO Box 862
McDonough, GA 30253-0862
Phone (775) 443-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171228000693 TX Practitioner - Physical Medicine and Rehabilitation 2163408014 Practice locations: Abilene, TX; Midland, TX
I20250331002903 GA Practitioner - Physical Medicine and Rehabilitation 2163408014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Midwestern University, Chicago College of Osteopathic Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2200 Patrick Henry Pkwy
McDonough, GA 30253-4207
Phone (470) 713-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monica H Wichner DO Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Monica H. Wichner, DO LTD Single Specialty Past Accepting new patients
Encompass Health Rehabilitation Hospital of Abilene, LLC Past Accepting new patients
Piedmont Healthcare Encompass Health Rehab Hospital of Henry, LLC Past Accepting new patients

Locations

2200 Patrick Henry Pkwy
McDonough, GA 30253
Phone (470) 713-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1598758286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302530862",
            "telephone_number": "775-443-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PATRICK HENRY PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534207",
            "telephone_number": "775-443-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHNER",
        "first_name": "MONICA",
        "middle_name": "HEIDI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "102881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.