THERESA MARIE WONG (MD) – Obstetrics & Gynecology Physician, NPI 1073019014

THERESA MARIE WONG (MD) is a healthcare provider. based in Dalton, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 92790 (GA). The NPI Number for THERESA MARIE WONG (MD) is 1073019014

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
THERESA MARIE WONG (MD)
NPI
1073019014
Phone
(706) 278-4640
Address
1105 BURLEYSON RD
Enumeration Date
30 March 2018
Last Update Date
1 August 2022

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7062784640
Graduation Year
2018 (8 years ago)
PAC ID
6507113982
Group Practice PAC ID
5092701029
Professional Enrollment ID
I20220818002676
Address ID
GA307203181DA1105XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,605 OBSTETRICS/GYNECOLOGY in NC

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Provider Addresses for THERESA MARIE WONG (MD)

  • 1105 BURLEYSON RD

    DALTON, GA 307203181

    Phone: (706) 278-4640

    Fax: (706) 275-6599

    Type: Mailing

  • 119, Hendersonville Road, Biltmore Village, Asheville, Buncombe County, North Carolina, 28803, United States

    ASHEVILLE, NC 288032868

    Phone: (828) 771-5500

    Fax: (828) 771-5454

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $573.

Total Amount is formed as General ($573) + Research ($0) + Ownership ($0) = $573.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: COLOPLAST CORP ($204).

Total Amount

$573

General + Research + Ownership

Payments

25

Total payment records

General Amount

$573

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220818002676IObstetrics/GynecologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3320$0
View full utilization report →

Insurance plans in this area (ZIP 30720)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092701029View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YNC
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What identifier follows THERESA MARIE WONG (MD) across health systems?
The NPI 1073019014 uniquely identifies THERESA MARIE WONG (MD) in U.S. healthcare data.
Quick check: is THERESA MARIE WONG (MD) active?
Public NPPES data shows THERESA MARIE WONG (MD) with an active NPI status right now.
What type of care does THERESA MARIE WONG (MD) provide?
THERESA MARIE WONG (MD)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to THERESA MARIE WONG (MD)?
The directory associates THERESA MARIE WONG (MD) with Dalton, Georgia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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