NPIMap

Individual provider Active NPI

Renee Therese Wright, P.A.

  • Physician Assistant
  • Johns Creek, GA
National Provider Identifier
1609283035
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7258 Issued in GA
Practice address
9690 Ventana Way
Johns Creek, GA 30022-6394
Phone
(404) 788-8578
Fax
(770) 232-9882
NPI assigned
Jul 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7258 GA Primary

Addresses

Primary practice location

9690 Ventana Way
Johns Creek, GA 30022-6394

Mailing address

9690 Ventana Way
Johns Creek, GA 30022-6394
Phone (404) 788-8578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160225001526 GA Practitioner - Physician Assistant 1658676820 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

110 Banks Crossing Dr
Suite 110
Commerce, GA 30529-6606
Phone (762) 244-5310

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

3711 Village Way
Suite a
Braselton, GA 30517-2201
Phone (470) 615-2661

528 Panther Dr
Jefferson, GA 30549-5400
Phone (706) 395-3030

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC CurrentSince Jan 20, 2023 Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients
Mount Lassen Emergency Physicians LLC Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Physician Assistant Past Accepting new patients
Lavender Inpatient Services LLC Past Accepting new patients
Stat Medical Care Inc Past Accepting new patients

Locations

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1609283035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9690 VENTANA WAY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226394",
            "telephone_number": "404-788-8578",
            "fax_number": "770-232-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9690 VENTANA WAY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226394",
            "telephone_number": "404-788-8578",
            "fax_number": "770-232-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "RENEE",
        "middle_name": "THERESE",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.