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Export Provider Record NPI 1336566561
Andrew WangD.O.
Active
NPI Number1336566561
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1336566561
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2014-03-26
Last Updated2025-04-24
Mailing Address4300 N Point Pkwy Ste 300
Alpharetta, GA 30022-4102
United States
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Primary Practice Address1057 Morningside Dr
Perry, GA 31069-2903
United States
Phone: (478) 218-1801
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Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDGA003167609B-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineGA079256
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About NPI 1336566561

Andrew Wang D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1336566561. The primary specialty listed is Family Medicine. The provider is located in Perry, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-03-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1336566561?

NPI 1336566561 belongs to Andrew Wang D.O., a Family Medicine in Perry, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1336566561 active?

The current status of NPI 1336566561 in the NPPES registry is Active. The record was last updated on 2025-04-24.

What specialty is NPI 1336566561?

NPI 1336566561 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1336566561?

You can verify NPI 1336566561 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1336566561?

The primary practice address on file for NPI 1336566561 is 1057 Morningside Dr, Perry, GA 31069-2903. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1336566561 issued?

NPI 1336566561 was first issued (enumerated) on 2014-03-26. The NPPES record was last updated on 2025-04-24.

Practice Location Map

Andrew Wang is located at 1057 Morningside Dr, Perry, GA. Use the map below to find directions or verify the practice location.

📍 1057 Morningside Dr, Perry, GA 31069-2903  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Andrew Wang. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1336566561. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine079256GA
Data Verified from CMS NPPES Last synced: 2026-08-13 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162