Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley D Wise, PAC

Individual provider Physician Assistant · NPI 1912668799

Ashley D Wise, PAC is a Physician Assistant in Stockbridge, Georgia. Qualified in 2021, 5 years ago. Practices with Aga Clinical Services, LLC, a 36-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2022
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

150 N Park Trl Ste B
Stockbridge, GA 30281-7372
Phone: (770) 507-0909
Fax: (770) 507-1919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10682 (GA)

Record details

NPI number1912668799
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 4, 2022
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022
Mailing address150 N Park Trl Ste B, Stockbridge, GA 30281-7372

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Aga Clinical Services, Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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