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

Danielle Wiseley, PA-C

Individual provider Dermatology Physician · NPI 1912379421

Danielle Wiseley, PA-C is a Physician Assistant in Columbus, Georgia. Qualified in 2014, 12 years ago. Practices with Dermatology Center of Atlanta, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
12
Licensed in
CA, GA
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1150 Brookstone Centre Pkwy
Columbus, GA 31904-4577
Phone: (706) 257-4189
Fax: (705) 257-4194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2501 G St, Bakersfield, CA 93301-2811 — (661) 327-2225

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7222 (GA)
Dermatology Physician Taxonomy 207N00000X · Licence PA52195 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA52195 (CA)

Record details

NPI number1912379421
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 22, 2015
Last updated in NPPESJune 15, 2020
Certification dateJune 15, 2020
Mailing address835 Cogburn Avenue, Suite 250, Marietta, GA 30060-1010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Dermatology Center Of Atlanta — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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