DR. TERRENCE WISE (MD) – Internal Medicine Physician, NPI 1790759579

DR. TERRENCE WISE (MD) is a healthcare provider. based in Fayetteville, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 056246 (GA). The NPI Number for DR. TERRENCE WISE (MD) is 1790759579

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. TERRENCE WISE (MD)
NPI
1790759579
Phone
(770) 719-5630
Address
1255 HIGHWAY 54 W
Enumeration Date
16 February 2006
Last Update Date
6 March 2020

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
4047286812
Graduation Year
2002 (24 years ago)
PAC ID
9830124429
Group Practice PAC ID
3476559782
Professional Enrollment ID
I20051003000463
Address ID
GA303294021AT1821XNEXX400
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

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for DR. TERRENCE WISE (MD)

  • Piedmont Fayette Hospital, 1255, Highway 54 West, Fayetteville, Fayette County, Georgia, 30214, United States

    FAYETTEVILLE, GA 302144526

    Phone: (770) 719-5630

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-10-03

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
I20051003000463IInternal MedicineGATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes17470$0
99239Hospital discharge day management, more than 30 minutes6461$0
99291Critical care, first 30-74 minutes3024$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 30214)

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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: 3476559782View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Internal Medicine, Infectious DiseaseGA
-GA
-GA
Physician AssistantGA
Certified Registered Nurse Anesthetist (Crna)FL
N E U R O L O G YGA

Reviews

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Frequently asked questions

What identifier follows DR. TERRENCE WISE (MD) across health systems?
The NPI 1790759579 uniquely identifies DR. TERRENCE WISE (MD) in U.S. healthcare data.
Should I treat DR. TERRENCE WISE (MD) as an active provider?
Patients and plans typically see DR. TERRENCE WISE (MD) as active in the national extract.
Which specialty label fits DR. TERRENCE WISE (MD)?
NPPES ties DR. TERRENCE WISE (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. TERRENCE WISE (MD) tied to Fayetteville, Georgia?
If you are local to Fayetteville, Georgia, DR. TERRENCE WISE (MD) may be relevant to your search.
Why is information missing for DR. TERRENCE WISE (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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