DR. TRACY ELIZABETH WIMBUSH MD NPI 1780669739

NPI Information

  • NPI: 1780669739
  • Provider Name: DR. TRACY ELIZABETH WIMBUSH, MD
  • Classification: Pain Medicine - 208VP0000X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1240 EAGLES LANDING PKWY
    SUITE 300
    STOCKBRIDGE, GA
    ZIP 30281
  • Phone: (770) 506-4350

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NPI Details

DR. Tracy Elizabeth Wimbush, MD is a pain medicine pain medicine in Stockbridge, GA. The provider is pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. DR. Tracy Elizabeth Wimbush, MD NPI is 1780669739. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1240 EAGLES LANDING PKWY
SUITE 300
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 506-4350
Fax: (770) 506-9860

The NPI 1780669739 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Infusion, normal saline solution , 1000 cc (HCPCS:J7030)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)

The enumeration date for this NPI number is 12/13/2005 and was last updated on 6/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine213411MASSACHUSETTSNo
2207P00000XEmergency Medicine243910NEW YORKNo
3207P00000XEmergency MedicineMD433123PENNSYLVANIANo
4207LP2900XAnesthesiologyPain MedicineMD433123PENNSYLVANIANo
5208VP0000XPain MedicinePain Medicine068869GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12034247MEDICAIDMASSACHUSETTS
2RB5303MEDICARE PINNEW YORK
3J27108OTHERMASSACHUSETTSBCBS MA
4003134595JMEDICAIDGEORGIA
5003134595LMEDICAIDGEORGIA
6I01257MEDICARE UPIN
7A36461MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
8468709OTHERMASSACHUSETTSTUFTS HEALTH PLAN
9003134595KMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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