Louise Wise, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-NP211259 Issued in GA

Practice address

2206 Hanfred LN Ste 103
Tucker, GA 30084-4809

Phone

(678) 831-6429

Fax

(678) 669-2848

NPI assigned

Feb 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCEGCD

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.

• Louise Wise LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucker, GA
  • NPI 1699239475
  Medicare reassignment NPD Authorized official
• Mobolaji Shalom Oyebanjo, Inc

  • Psychiatry Physician
  • Villa Rica, GA
  • NPI 1922280684
  Medicare reassignment NPD
• The Northrop Connection, LLC

  • Clinical Social Worker
  • Dallas, GA
  • NPI 1912398868
  Medicare reassignment
• Potters Hands Institute LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Villa Rica, GA
  • NPI 1386964690
  NPD (past)

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1851782965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300210309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 HANFRED LN STE 103",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844809",
            "telephone_number": "678-831-6429",
            "fax_number": "678-669-2848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Evans Mill Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301571623",
            "country_code": "US",
            "telephone_number": "678-831-6429",
            "fax_number": "678-669-2848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "LOUISE",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP211259",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC003029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Wilson
• Rosemarie Wilson, CASE MANAGER
• Samantha Elizabeth Wilson, MASSAGE THERAPIST
• Jeremy Dewayne Winbush, COTA
• Monique Wischusen
• P Lynn Wiseman, CNS
• Michael Witmer, MAT, LAT, ATC, CPT
• Victoria Ann Wittmeyer, MS CCC-SLP
• Sarah Catherine Wood, MS LPC NCC
• Michael Wooden, MS, PT, OCS

• Psychiatric/Mental Health Nurse Practitioner in Tucker, GA
• Providers in Tucker, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.