NPIMap

Individual provider Active NPI

Christopher R Wizner, MD

  • Family Medicine Physician
  • Powder Springs, GA
National Provider Identifier
1902896293
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
037734 Issued in GA
Practice address
4250 Brownsville Rd
Powder Springs, GA 30127-2559
Phone
(678) 567-8000
Fax
(770) 439-3555
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 037734 GA Primary

Addresses

Primary practice location

4250 Brownsville Rd
Powder Springs, GA 30127-2559

Mailing address

4250 Brownsville Rd
Powder Springs, GA 30127-2559
Phone (678) 567-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080430000551 GA Practitioner - Family Practice 7517913627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Immediate Care, IncGroup PAC ID 9133105976, 22 clinicians
Tanner Medical Group IncGroup PAC ID 2769536143, 120 clinicians

Practice addresses (Care Compare)

101 Quartz Dr
Suite 101
Villa Rica, GA 30180-3252
Phone (770) 949-7500

63 Mulberry Rock Rd
Temple, GA 30179-2802
Phone (770) 456-3866

690 Dallas Hwy
Villa Rica, GA 30180-1263

690 Dallas Hwy 207a
Villa Rica, GA 30180-1263
Phone (770) 456-3646

Hospital & facility affiliations

  • Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
  • Tanner Home Health Services Home health agency, Carrollton, GA, CCN 117319
  • Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015
  • Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037734GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Immediate Care, Inc CurrentSince Nov 1, 2013 Accepting new patients
TMC Buchanan Family Healthcare Center Family Medicine CurrentSince Jan 15, 2023 Accepting new patients
Tanner Medical Group Inc Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
TMC Children'S Healthcare of West Georgia Past Accepting new patients
Wellstar Medical Group, LLC Family Medicine Past Accepting new patients
Denis Morin PastSince Jan 15, 2023 Accepting new patients

Locations

2908 Business 27
Buchanan, GA 30113
Phone (770) 646-8281

1480 S Highway 27
Carrollton, GA 30117
Phone (770) 812-9445

119 Ambulance Dr
Ste 202
Carrollton, GA 30117
Phone (770) 838-8710

157 Clinic Ave
Ste 302A
Carrollton, GA 30117
Phone (770) 812-5886

63 Mulberry Rock Rd
Temple, GA 30179
Phone (770) 456-3866

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445

Organizations & group practices 6

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 7

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1902896293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 BROWNSVILLE RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272559",
            "telephone_number": "678-567-8000",
            "fax_number": "770-439-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 BROWNSVILLE RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272559",
            "telephone_number": "678-567-8000",
            "fax_number": "770-439-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIZNER",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "037734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

Verify at the official NPI Registry.