P Praxis·MD
● Active Type 1 · Individual

Nicolas A. Wieder, DO

Pain Medicine·Kennesaw, GA· NPI 1467500322 · Enumerated 2007 · 19 years on NPI
Wieder is 1 of 2 pain medicine providers in Kennesaw and 1 of 125 in Georgia.
NPI age
19 years
Enumerated 2007-01-08
Primary specialty
Pain Medicine
Plus 1 subspecialty
Licensed in
GA, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-12-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 125 active pain medicine providers in Georgia.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
750 Townpark Lane, Kaiser Permanente Townpark Medical Center
Kennesaw, GA 30144
📞 8183752000
Mailing address
3495 Piedmont Road, Ne, Nine Piedmont Center
Atlanta, GA 30305
📞 4045045678

Specialties

  • Pain Medicine Primary
    Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention...
    GA license #075400CA license #20A5558 taxonomy 208VP0000X

Practice context

Part of a multi-provider practice. 16 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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