Active NPI
Wendy Hawke Lenz, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Decatur, GA
National Provider Identifier
1760460554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 27563
- Practice address
- 224 Seneca St
Decatur, GA 30030-1811 - Phone
- (770) 883-1581
- NPI assigned
- Jan 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27563 | GA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 27563 | GA | Primary |
Addresses
Primary practice location
224 Seneca St
Decatur, GA 30030-1811
Mailing address
224 Seneca St
Decatur, GA 30030-1811
Phone (770) 883-1581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000308536C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27563 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Cancer Institute Professional Services G, LLC | Past | Accepting new patients | |
| Georgia Cancer Specialists I, PC | Past | Accepting new patients | |
| Northside Imaging LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1760460554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 SENECA ST",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301811",
"telephone_number": "770-883-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 SENECA ST",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301811",
"telephone_number": "770-883-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "WENDY",
"middle_name": "HAWKE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "27563",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "GA",
"license": "27563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000308536C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.