P Praxis·MD
● Active Type 1 · Individual

DR. Tracy Elizabeth Wimbush, MD

Pain Medicine·Stockbridge, GA· NPI 1780669739 · Enumerated 2005 · 20 years on NPI
Wimbush is 1 of 3 pain medicine providers in Stockbridge and 1 of 125 in Georgia.
NPI age
20 years
Enumerated 2005-12-13
Primary specialty
Pain Medicine
Plus 4 subspecialties
Licensed in
GA, MA, NY, PA
4 states
Status
Active
No deactivations on record
Last NPPES update
2014-06-03
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
20 years
↑ 5 yr above median (15 yr)
State licenses
4 states
Top 89% — 10% of peers are multi-state
Subspecialties
2
In the 50% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
1240 Eagles Landing Pkwy, Suite 300
Stockbridge, GA 30281
📞 7705064350fax 7705069860
Mailing address
900 Circle 75 Pkwy Se, Suite 1700
Atlanta, GA 303393035
📞 7709536929fax 7709536972

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 #068869 taxonomy 208VP0000X
  • Anesthesiology
    An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs...
    PA license #MD433123 taxonomy 207LP2900X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    MA license #213411NY license #243910PA license #MD433123 taxonomy 207P00000X

Identifiers

TypeValueNotes
05 (GA) 003134595J
05 (MA) 2034247
01 (MA) 468709 TUFTS HEALTH PLAN
01 (MA) J27108 BCBS MA
05 (GA) 003134595K
05 (GA) 003134595L
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 17 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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