NPI age
16 years
Enumerated 2010-03-11
● Active Type 2 · Organization
Our Lady Of The Roses Primary Care
Our Lady Of The Roses Primary Care is 1 of 3206 nurse practitioner organizations in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wieczorek
Registering Agent
Last NPPES update
2014-02-25
Source: monthly bulk 2026-05
How this organization compares
Across 3206 active nurse practitioner providers in Georgia.
NPI age
16 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-03Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
808 21st St
Columbus, GA 319048817
Mailing address
Po Box 1957
Fortson, GA 318081957
Authorized official
Gerald W. Wieczorek
Registering Agent
📞 7063274880
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Anneliese Chai, PA-C Physician Assistant NPI 1760445753
- Susan Wieczorek, NP-C, CWOCN Nurse Practitioner NPI 1013087386
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...
-
General PracticeA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.