DR. CASSANDRA L WANZO (MD) – Psychiatry Physician, NPI 1518914217

DR. CASSANDRA L WANZO (MD) is a healthcare provider. based in Roswell, Georgia. specializing in PSYCHIATRY, ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. 035165 (GA). The NPI Number for DR. CASSANDRA L WANZO (MD) is 1518914217

Main info

Female
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASSANDRA L WANZO (MD)
NPI
1518914217
Phone
(678) 566-1440
Address
602 BOMBAY LN
Enumeration Date
28 May 2006
Last Update Date
26 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6785661440
Graduation Year
1978 (48 years ago)
PAC ID
2769409127
Professional Enrollment ID
I20051026000161
Address ID
GA300765828RO602XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

832 PSYCHIATRY in GA

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Provider Addresses for DR. CASSANDRA L WANZO (MD)

  • 602, Bombay Lane, Roswell, Fulton County, Georgia, 30076, United States

    ROSWELL, GA 300765828

    Phone: (678) 566-1440

    Fax: (678) 566-1442

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,326.

Total Amount is formed as General ($1,326) + Research ($0) + Ownership ($0) = $1,326.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($685).

Total Amount

$1,326

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,326

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2005-10-26

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
I20051026000161IPsychiatryGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30076)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the registry number for DR. CASSANDRA L WANZO (MD)?
The registry entry for DR. CASSANDRA L WANZO (MD) shows NPI 1518914217.
Is DR. CASSANDRA L WANZO (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. CASSANDRA L WANZO (MD) as active.
What type of care does DR. CASSANDRA L WANZO (MD) provide?
DR. CASSANDRA L WANZO (MD)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. CASSANDRA L WANZO (MD)?
DR. CASSANDRA L WANZO (MD) is associated with Roswell, Georgia in the same public data insurers reference.
Can I export DR. CASSANDRA L WANZO (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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