NICOLAS A. WIEDER (DO) – Pain Medicine Physician, NPI 1467500322

NICOLAS A. WIEDER (DO) is a healthcare provider. based in Atlanta, Georgia. specializing in PAIN MANAGEMENT. They hold the professional credentials DO. They hold a License No. 20A5558 (CA). The NPI Number for NICOLAS A. WIEDER (DO) is 1467500322

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
NICOLAS A. WIEDER (DO)
NPI
1467500322
Phone
(404) 504-5678
Address
3495 PIEDMONT ROAD, NE
Enumeration Date
8 January 2007
Last Update Date
2 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9073394650
Graduation Year
1987 (39 years ago)
PAC ID
6305993551
Group Practice PAC ID
7012297062
Professional Enrollment ID
I20220609002949
Address ID
AK995082900AN2925XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

259 PAIN MANAGEMENT in GA

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Provider Addresses for NICOLAS A. WIEDER (DO)

  • Piedmont Road Northeast, Buckhead, Atlanta, Georgia, 30305, United States of America

    NINE PIEDMONT CENTER

    ATLANTA, GA 30305

    Phone: (404) 504-5678

    Type: Mailing

  • Kaiser Permanente TownPark Comprehensive Medical Center, 750, Townpark Lane Northwest, Kennesaw, Georgia, 30144, United States

    KAISER PERMANENTE TOWNPARK MEDICAL CENTER

    KENNESAW, GA 30144

    Phone: (818) 375-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $282.

Total Amount is formed as General ($282) + Research ($0) + Ownership ($0) = $282.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($107).

Total Amount

$282

General + Research + Ownership

Payments

11

Total payment records

General Amount

$282

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2022-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20161219000893IPain ManagementGATBD
I20220609002949IPain ManagementAKTBD

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 minutes177130$0
99213Established patient office or other outpatient visit, 20-29 minutes11087$0
99215Established patient office or other outpatient visit, 40-54 minutes7058$0
80305Testing for presence of drug, read by direct observation6354$0
View full utilization report →

Insurance plans in this area (ZIP 30305)

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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: 7012297062View full group profile
NameSpecialtyState
Physician AssistantTX
Hospice/Palliative CareOR
Physician AssistantAK
Physician AssistantAK
Pain ManagementWA
Physician AssistantAK
Physician AssistantAK
A N E S T H E S I O L O G YAK
Anesthesiology, Pain ManagementAK
-FL

Reviews

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Frequently asked questions

What is the standard ID for NICOLAS A. WIEDER (DO) in the U.S.?
In the U.S., NICOLAS A. WIEDER (DO) is identified by NPI 1467500322.
Is NICOLAS A. WIEDER (DO) currently accepting referrals based on NPI status?
Registry metadata lists NICOLAS A. WIEDER (DO) as active.
What type of care does NICOLAS A. WIEDER (DO) provide?
NICOLAS A. WIEDER (DO)'s profile centers on Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to NICOLAS A. WIEDER (DO)?
NICOLAS A. WIEDER (DO) shows a connection to Atlanta, Georgia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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