NPI age
14 years
Enumerated 2012-04-23
● Active
Type 1 · Individual
MRS. Latoya Leigh Wise, CRNA
Wise is 1 of 10 nurse anesthetist, certified registered providers in Fayetteville and 1 of 2157 in Georgia.
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
TX, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
NPI age
14 years
≈ at median (15 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Practice location
1255 Highway 54 W
Fayetteville, GA 302144526
Mailing address
P.o. Box 650865
Dallas, TX 752650865
Additional practice locations
1 secondary location on file with NPPES.
Location 2
180 Victoria Dr
Fayetteville, GA 302141163
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Practice context
Part of a multi-provider practice. 138 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.