STACIE LINN WONG (MD) – Anesthesiology Physician, NPI 1861454753
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,330 ANESTHESIOLOGY in GA
Provider Addresses for STACIE LINN WONG (MD)
1 MEADOWS PKWY
VIDALIA, GA 304748759
Phone: (912) 538-5359
Fax: (912) 538-5228
Type: Location
1 Meadows Pkwy
Vidalia, GA 304748759
Phone: (912) 538-5359
Fax: (912) 538-5228
Type: Location
2540 WINDY HILL RD SE
MARIETTA, GA 300678605
Phone: (470) 644-1274
Fax: (470) 644-1119
Type: Mailing
Vidalia Post Office, East 3rd Street, Vidalia, Toombs County, Georgia, 30474, United States
VIDALIA, GA 304751303
Phone: (912) 537-4986
Fax: (912) 538-8166
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Mentor Worldwide LLC ($76).
Total Amount
$76
General + Research + Ownership
Payments
2
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $76 |
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: 2014-04-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040712000793 | I | Anesthesiology | GA | TBD |
| I20140423002388 | I | Anesthesiology | SC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 14 | 14 | $0 |
Insurance plans in this area (ZIP 30474)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | GA | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| - | NC | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| - | TN | |
| Certified Registered Nurse Anesthetist (Crna) | WV | |
| - | GA | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | NC | |
| A N E S T H E S I O L O G Y | MI |
Reviews
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