MICHAEL EDWARD WIEGERT (PA-C) – Physician Assistant, NPI 1104822592

MICHAEL EDWARD WIEGERT (PA-C) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 003590 (GA). The NPI Number for MICHAEL EDWARD WIEGERT (PA-C) is 1104822592

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL EDWARD WIEGERT (PA-C)
NPI
1104822592
Phone
(404) 605-2800
Address
95 COLLIER RD NW
Enumeration Date
22 June 2005
Last Update Date
1 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9193507270
Graduation Year
2000 (26 years ago)
PAC ID
6800940560
Group Practice PAC ID
2466788377
Professional Enrollment ID
I20150220001031
Address ID
NC276101231RA3000XAVEX400

Contacts

Secure Messaging
mwiegert61207@directHISP.wakemed.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

4,431 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MICHAEL EDWARD WIEGERT (PA-C)

  • Collier Road Northwest, A, Atlanta, Georgia, 30318, United States

    STE 2035

    ATLANTA, GA 303091796

    Phone: (404) 605-2800

    Fax: (404) 351-5983

    Type: Mailing

  • 10010 Falls Of Neuse Rd

    Raleigh, NC 276148494

    Phone: (919) 847-3164

    Fax: (919) 847-3195

    Type: Location

  • 2920 HIGHWOODS BLVD

    RALEIGH, NC 276040010

    Phone: (877) 498-4490

    Type: Mailing

  • PO BOX 603949

    CHARLOTTE, NC 282603949

    Phone: (919) 350-8991

    Fax: (919) 350-7687

    Type: Mailing

  • 3000 NEW BERN AVE STE 2035

    RALEIGH, NC 276101231

    Phone: (919) 231-6132

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $463.

Total Amount is formed as General ($463) + Research ($0) + Ownership ($0) = $463.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($124).

Total Amount

$463

General + Research + Ownership

Payments

23

Total payment records

General Amount

$463

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2015-02-20

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
I20150220001031IPhysician AssistantNCTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes305231$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report180158$0
99213Established patient office or other outpatient visit, 20-29 minutes10096$0
99215Established patient office or other outpatient visit, 40-54 minutes4845$0
View full utilization report →

Insurance plans in this area (ZIP 30309)

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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: 2466788377View full group profile
NameSpecialtyState
-NC
Nurse PractitionerNC
Physician AssistantNC
-NC
-PA
Physician AssistantNC
-NC
-NC
O B S T E T R I C S/ G Y N E C O L O G YNC
Hematology/Oncology, Hospitalist, Internal MedicineNC

Reviews

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Frequently asked questions

What unique ID ties claims to MICHAEL EDWARD WIEGERT (PA-C)?
NPI 1104822592 is assigned to MICHAEL EDWARD WIEGERT (PA-C) under the national enumeration system.
Is MICHAEL EDWARD WIEGERT (PA-C) currently active in the NPI registry?
CMS-published data lists MICHAEL EDWARD WIEGERT (PA-C) as an active registrant.
Does MICHAEL EDWARD WIEGERT (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MICHAEL EDWARD WIEGERT (PA-C). Clinical services aligned with this taxonomy classification.
Where is MICHAEL EDWARD WIEGERT (PA-C)'s primary listing?
We display Atlanta, Georgia because that is what the record indicates for MICHAEL EDWARD WIEGERT (PA-C).
Is MICHAEL EDWARD WIEGERT (PA-C) a real provider?
This page reflects official NPPES data for NPI 1104822592. Always confirm identity and privileges with the practice and licensing boards.

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