P Praxis·MD
● Active Type 1 · Individual

Gina D Wise

Technician/Technologist·Fayetteville, GA· NPI 1932416617 · Enumerated 2010 · 15 years on NPI
Wise is 1 of 6 technician/technologist providers in Fayetteville and 1 of 393 in Georgia.
NPI age
15 years
Enumerated 2010-09-02
Primary specialty
Technician/Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-09-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 393 active technician/technologist providers in Georgia.

NPI age
15 years
↑ 12 yr above median (3 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-09Enumerated in NPPES
2010 2026

Where they practice

Practice location
101 Yorktown Dr, Suite 225
Fayetteville, GA 302141568
📞 7704602331fax 7704602099
Mailing address
101 Yorktown Dr, Suite 225
Fayetteville, GA 302141568
📞 7704602331fax 7704602099

Specialties

  • Technician/Technologist Primary
    Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
    GA license #LDO000890 taxonomy 156FX1800X

Practice context

Part of a multi-provider practice. 24 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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