NPI age
19 years
Enumerated 2007-01-22
● Active
Type 1 · Individual
Lance Jordan Wiist, M.D.
Wiist is 1 of 55 obstetrics & gynecology providers in Lawrenceville and 1 of 1893 in Georgia.
Primary specialty
Obstetrics & Gynecology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-12-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1893 active obstetrics & gynecology providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
761 Old Norcross Rd
Lawrenceville, GA 300464317
Mailing address
761 Old Norcross Rd
Lawrenceville, GA 300464317
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00446993A | |
| 01 (GA) | 619666 | BLUE CROSS BLUE SHIELD GA |
| 01 (GA) | 160054732 | PALMETTO GBA RAILROAD |
| 01 (GA) | 000446993A | PEACHSTATE |
| 01 (GA) | 00446993A | WELLCARE |
Practice context
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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