Abigail Leigh Wiseley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9459 Issued in GA

Practice address

105 Professional Park Dr
Cumming, GA 30040-2381

Phone

(770) 800-3455

Fax

(770) 284-8380

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Medical University of South Carolina College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleaver Medical Group Dermatology IncGroup PAC ID 7315276045, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.62 of 100Reported as group

Quality

100

Improvement activities

40

Cost

85.39

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: awiseley@cleavermed.emadirect.md
• FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

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.

• Cleaver Medical Group Dermatology Inc

  • Dermatology Physician
  • Cumming, GA
  • NPI 1841852076
  Medicare reassignment Care Compare group
• Southeast Medical Group, P.C.

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1235296054
  NPD (past)

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1871131086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 TIPTON DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331603",
            "telephone_number": "770-800-3455",
            "fax_number": "770-450-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PROFESSIONAL PARK DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402381",
            "telephone_number": "770-800-3455",
            "fax_number": "770-284-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISELEY",
        "first_name": "ABIGAIL",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awiseley@cleavermed.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 Professional Park Dr",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300402381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Marshall Wilson, NP
• Windermere Dental, P.C.
• Lara Leigh Windom, LPN
• Mark D Winokur, M.D.
• Kelly Dean Winter, CP, LP
• Courtney Beth Wisler
• Jenna Wisotsky, PT,DPT
• With Love Home Care LLC
• Women'S Imaging Specialists - Cumming, LLC
• Women'S Imaging Specialists, LLC

• Physician Assistant in Cumming, GA
• Providers in Cumming, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.
• 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.

Verify at the official NPI Registry.