DANIELLE WISELEY (PA-C) – Physician Assistant, NPI 1912379421
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
10,564 PHYSICIAN ASSISTANT in CA
Provider Addresses for DANIELLE WISELEY (PA-C)
835 COGBURN AVENUE
SUITE 250
MARIETTA, GA 300601010
Phone: (770) 422-8815
Fax: (770) 422-8815
Type: Mailing
2501 G St
Bakersfield, CA 933012811
Phone: (661) 327-2225
Type: Location
1150 BROOKSTONE CENTRE PARKWAY
COLUMBUS, GA 319044577
Phone: (706) 257-4189
Fax: (705) 257-4194
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 168 Open Payments records for all available years, with a total value of $4,583.
Total Amount is formed as General ($4,583) + Research ($0) + Ownership ($0) = $4,583.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($2,408).
Total Amount
$4,583
General + Research + Ownership
Payments
168
Total payment records
General Amount
$4,583
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,408 |
| E.R. Squibb & Sons, L.L.C. | $415 |
| GENZYME CORPORATION | $322 |
| LEO Pharma Inc. | $176 |
| Dermavant Sciences, Inc. | $159 |
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: 2019-01-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190110000468 | I | Physician Assistant | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| D E R M A T O L O G Y | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| D E R M A T O L O G Y | GA |
Reviews
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