Active NPI
Latoya Leigh Wise, CRNA
- Certified Registered Nurse Anesthetist
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP134506
- Practice address
- 1255 Highway 54 W
Fayetteville, GA 30214-4526 - Phone
- (770) 719-7000
- NPI assigned
- Apr 23, 2012
- Last updated
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 161834 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP134506 | TX | Primary |
Addresses
Primary practice location
1255 Highway 54 W
Fayetteville, GA 30214-4526
Mailing address
P.O. Box 650865
Dallas, TX 75265-0865
Phone (972) 233-1999
Other practice location 1
180 Victoria Dr
Fayetteville, GA 30214-1163
Phone (404) 379-7052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812
340 N Milledge Ave
Suite a
Athens, GA 30601-3806
Phone (706) 548-0008
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161834 | GA | MD | Certified Registered Nurse Anesthetist |
| AP134506 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SG Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Sleep Ezzy | Current | Accepting new patients | |
| Progressive Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northside Primary Care Professional Services, LLC | Current | Accepting new patients | |
| RG Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Atlanta Anesthesia, LLC | Current | Accepting new patients | |
| Gi Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Xenon Anesthesia of Georgia LLC | Current | Accepting new patients | |
| Piedmont Anesthesia Associates, L.L.C | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| Gwinnett Physician Group, LLC | Current | Accepting new patients | |
| WGG Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Concordia Anesthesiology, Inc | Current | Accepting new patients | |
| Piedmont Anesthesia LLC | Current | Accepting new patients | |
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Au Medical Associates Anesthesia Billing Services, LLC | Current | Accepting new patients | |
| Gastrointestinal Specialist of Georgia | Current | Accepting new patients | |
| Premier Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Redmond Anesthesia and Pain Treatment, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Au Anesthesiology LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northside Primary Care Professional Services,LLC | Current | Accepting new patients | |
| Southcare Anesthesia Services, LLC | Current | Accepting new patients | |
| Grady Health System | Past | Accepting new patients | |
| Premier Anesthesia of Mississippi LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Georgia Pain and Spine Solutions, PC | Past | Accepting new patients |
Locations (25 of 41)
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
3825 Medical Park Dr
Ste 300
Austell, GA 30106
Phone (770) 941-4810
160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800
6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
3400 McClure Bridge Rd
Ste A102
Duluth, GA 30096
Phone (917) 621-6854
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
625 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 532-0292
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
6335 Hospital Pkwy
Ste 208
Johns Creek, GA 30097
Phone (404) 645-7150
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220
455 Philip Blvd
Ste 138
Lawrenceville, GA 30046
763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994
892 Legacy Park Dr
Lawrenceville, GA 30043
367 Athens Hwy
Ste 100A
Loganville, GA 30052
Phone (678) 466-6760
Interoperability endpoints
- https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4
- https://surescripts.gmh.edu/OAuth2PRD/GHSMYC/api/FHIR/R4/
Organizations & group practices 28
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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rome, GA
- NPI 1821350984
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Savannah, GA
- NPI 1831440478
Nurse Anesthetist, Certified Registered
-
dba MCG Anesthesiology Financial Services
- Anesthesiology Physician
- Augusta, GA
- NPI 1801843933
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1750753786
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1619296464
-
- Gastroenterology Physician
- Marietta, GA
- NPI 1801975339
-
dba Grady Health System
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1285043158
-
- Internal Medicine Physician
- Lawrenceville, GA
- NPI 1578574661
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1831456284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 650865",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650865",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 HIGHWAY 54 W",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144526",
"telephone_number": "770-719-7000"
}
],
"practiceLocations": [
{
"address_1": "180 Victoria Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "GA",
"postal_code": "302141163",
"country_code": "US",
"telephone_number": "404-379-7052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISE",
"first_name": "LATOYA",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "161834",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP134506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
- Warnitra Wimberly, PHARMD
- David Lee Winfrey, D.C.
- Lloyd Thomas Winger IV, MD
- Winlace Medical Solutions
- Gina D Wise
- Terrence Wise, MD
- Erin Davis Wisehart, LMFT
- Michael Brian Witherspoon, PA
- WLJ Enterprises LLC (Southern Horizon Medical Equipment)
- WLJ Enterprizes, LLC (Southern Horizons Medical Equip.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.