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

Nicolas A. Wieder, DO

Individual provider Pain Medicine Physician · NPI 1467500322

Nicolas A. Wieder, DO is a Pain Management in Kennesaw, Georgia. Qualified in 1987, 39 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Georgia.

Years since qualifying
39
Licensed in
CA, GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

750 Townpark Lane Kaiser Permanente Townpark Medical Ctr
Kennesaw, GA 30144
Phone: (818) 375-2000
Show map & directions

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

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 075400 (GA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 20A5558 (CA)

Record details

NPI number1467500322
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESDecember 2, 2016
Mailing address3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesNEUROLOGY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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