P Praxis·MD
● Active Type 1 · Individual

Katherine Eleanor Wiegman, M.D.

Family Medicine·Senoia, GA· NPI 1881861839 · Enumerated 2008 · 18 years on NPI
Wiegman is 1 of 8 family medicine providers in Senoia and 1 of 5448 in Georgia.
NPI age
18 years
Enumerated 2008-05-09
Primary specialty
Family Medicine
Plus 3 subspecialties
Licensed in
GA, NE
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
18 years
≈ at median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
48 Main St Ste 3a
Senoia, GA 302761895
📞 6787230400
Mailing address
643 Main St
Palmetto, GA 302681138
📞 4049298824fax 4049299769

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
405 W Pearl St
Atkinson, NE 687134882
📞 4029252631fax 4029252914
Location 3
11766 Highway 27
Summerville, GA 307475989
📞 7068573915fax 7068577231

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #067629GA license #67629NE license #29748 taxonomy 207Q00000X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #67629 taxonomy 207R00000X

Identifiers

TypeValueNotes
05 (GA) 003124917C
05 (NE) 1881861839
05 (GA) 003124917D
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 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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