Individual provider Active NPI

Wesley Mabry Stuckey, M.D.

  • Obstetrics & Gynecology Physician
  • Dalton, GA
National Provider Identifier
1881621142
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036620 Issued in GA
Practice address
1525 Chattanooga Rd
Dalton, GA 30720-8379
Phone
(706) 226-3373
Fax
(706) 226-0845
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036620 GA Primary

Addresses

Primary practice location

1525 Chattanooga Rd
Dalton, GA 30720-8379

Mailing address

1525 Chattanooga Rd
Dalton, GA 30720-8379
Phone (706) 226-3373

Other identifiers 1

IdentifierTypeStateIssuer
00544321AMedicaidGA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000156 GA Practitioner - Obstetrics/Gynecology 7214994771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Alabama College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Obstetrics and Gynecology, PCGroup PAC ID 5092701029, 11 clinicians

Practice addresses (Care Compare)

1105 Burleyson Rd
Dalton, GA 30720-3181
Phone (706) 278-4640

Hospital & facility affiliations

  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
72.74
Improvement activities
40
Cost
88.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Obstetrics & Gynecology, PC Obstetrics & Gynecology CurrentSince Oct 4, 2021 Accepting new patients
Hamilton Medical Center, Inc. Past Accepting new patients

Locations

105 Jw Plaza Dr SE
Ste 1
Calhoun, GA 30701
Phone (706) 278-4640

1250 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-4640

1105 Burleyson Rd
Dalton, GA 30720
Phone (706) 278-4640

1109 Burleyson Rd
Ste 205
Dalton, GA 30720
Phone (706) 278-4640

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4044/brand/1/csg/1/fhir/r4
  • Direct secure messaging: wesley.stuckey.1@4044.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1881621142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 CHATTANOOGA RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208379",
            "telephone_number": "706-226-3373",
            "fax_number": "706-226-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 CHATTANOOGA RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208379",
            "telephone_number": "706-226-3373",
            "fax_number": "706-226-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "WESLEY",
        "middle_name": "MABRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "036620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00544321A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.