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

Mary Capers Elder Wicker, PA

Individual provider Physician Assistant · NPI 1447973011

Mary Capers Elder Wicker, PA is a Physician Assistant in Atlanta, Georgia. Qualified in 2023, 3 years ago. Practices with Northside Emergency Associates, PC, a 38-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5665 New Northside Dr Ste 220
Atlanta, GA 30328-5831
Phone: (615) 260-0199
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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 12107 (GA)

Record details

NPI number1447973011
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 20, 2022
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northside Emergency Associates, P.C. — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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