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

Nathan Wade Anisko

Individual provider Family Medicine Physician · NPI 1972130128

Nathan Wade Anisko is a Family Practice in Macon, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2020, 6 years ago. Practices with Emory Specialty Associates, LLC, a 694-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

777 Hemlock St # 104
Macon, GA 31201-2102
Phone: (478) 633-7550
Fax: (478) 633-3235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 90644 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 90702 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972130128
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address777 Hemlock St # 104, Macon, GA 31201-2102

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Emory Specialty Associates, Llc — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Macon