P Praxis·MD
● Active Type 1 · Individual

Katlin Wise

Nurse Practitioner·Marietta, GA· NPI 1770102949 · Enumerated 2020 · 6 years on NPI
Wise is 1 of 121 nurse practitioner providers in Marietta and 1 of 3206 in Georgia.
NPI age
6 years
Enumerated 2020-04-08
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
6 years
↓ 2 yr below median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-04Enumerated in NPPES
2020 2026

Where they practice

Practice location
677 Church St Ne
Marietta, GA 300601101
📞 7707935000
Mailing address
921 Tamarisk Pl
Canton, GA 301141276
📞 7067163748

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN255539 taxonomy 363L00000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #RN255539 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 478 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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