P Praxis·MD
● Active Type 1 · Individual

Anya Wiedenbeck, MSN, APRN, FNP-C

Nurse Practitioner·Forest Park, GA· NPI 1417657800 · Enumerated 2023 · 3 years on NPI
Wiedenbeck is 1 of 10 nurse practitioner providers in Forest Park and 1 of 8826 in Georgia.
NPI age
3 years
Enumerated 2023-03-06
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-03Enumerated in NPPES
2023 2026

Where they practice

Practice location
455 Forest Pkwy
Forest Park, GA 302972126
📞 6787050100
Mailing address
4502 Woodhall Way Ne
Roswell, GA 300751997
📞 6788798581

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN260056 taxonomy 363LF0000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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