Individual provider Active NPI

Stacie Linn Wong, MD

  • Anesthesiology Physician
  • Marietta, GA
National Provider Identifier
1861454753
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
033760 Issued in GA
Practice address
2540 Windy Hill Rd SE
Marietta, GA 30067-8605
Phone
(470) 644-1274
Fax
(470) 644-1119
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 033760 GA Primary

Addresses

Primary practice location

2540 Windy Hill Rd SE
Marietta, GA 30067-8605

Mailing address

2540 Windy Hill Rd SE
Marietta, GA 30067-8605
Phone (470) 644-1274

Other practice location 1

200 Industrial Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000

Other practice location 2

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 538-5359

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swong498497@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20040712000793 GA Practitioner - Anesthesiology 2163400524 Reassigns benefits to 9 organizations
I20140423002388 SC Practitioner - Anesthesiology 2163400524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Georgia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

200 Industrail Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Sda Consultants PLLC Anesthesiology CurrentSince Feb 26, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 1, 2022 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Jun 13, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 1, 2022 Accepting new patients
American Anesthesiology Associates of Georgia, LLC Anesthesiology CurrentSince Jun 1, 2019 Accepting new patients
Sentry Anesthesia Management, LLC Anesthesiology CurrentSince Oct 12, 2022 Accepting new patients
Alta Anesthesia Associates of Georgia, PC Anesthesiology CurrentSince Feb 22, 2013 Accepting new patients
Ams Southeast LLC Anesthesiology CurrentSince Oct 3, 2023 Accepting new patients
Atlantic Coast Anesthesia Services P.C. Anesthesiology CurrentSince Jun 1, 2017 Accepting new patients
Anesthesiology Consultants PC Anesthesiology Past Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

3100 Kemble Ave
Brunswick, GA 31520
Phone (880) 233-2570

777 Gloucester St
Brunswick, GA 31520
Phone (912) 264-9930

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2540 Windy Hill Rd SE
Marietta, GA 30067
Phone (470) 644-1274

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

8 Stephenson Ave
Savannah, GA 31405
Phone (912) 354-2479

519 Stephenson Ave
Savannah, GA 31405

230 E Derenne Ave
Savannah, GA 31405
Phone (912) 790-4000

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

459 Highway 119 S
#386
Springfield, GA 31329
Phone (912) 754-0436

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885

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

Hospital & facility affiliations 1

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1861454753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 WINDY HILL RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678605",
            "telephone_number": "470-644-1274",
            "fax_number": "470-644-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 WINDY HILL RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678605",
            "telephone_number": "470-644-1274",
            "fax_number": "470-644-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310212981",
            "country_code": "US",
            "telephone_number": "478-275-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Meadows Pkwy",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748759",
            "country_code": "US",
            "telephone_number": "912-538-5359",
            "fax_number": "912-538-5228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "STACIE",
        "middle_name": "LINN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "033760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swong498497@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2540 Windy Hill Rd SE",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300678605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.