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

Wesley Michael Johansen

Individual provider Anesthesiologist Assistant · NPI 1174904064

Wesley Michael Johansen is an Anesthesiology Assistant in Decatur, Georgia. Graduated from Emory University School of Medicine in 2015, 11 years ago. Practices with Emory Specialty Associates, LLC, a 694-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2701 N Decatur Rd
Decatur, GA 30033-5918
Phone: (404) 501-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 8954 Hospital Dr, Douglasville, GA 30134-2272 — (770) 794-0477
  • 146 Bill Carruth Pkwy, Hiram, GA 30141-3749 — (770) 794-0477
  • 677 Church St Ne, Marietta, GA 30060-1101 — (770) 794-0477
  • 531 Roselane St Nw, Marietta, GA 30060-6913 — (770) 794-0477
  • 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 — (770) 794-0477

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 7697 (GA)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1174904064
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 16, 2015
Last updated in NPPESJuly 26, 2023
Certification dateJuly 25, 2023
Mailing address2701 N Decatur Rd, Decatur, GA 30033-5918

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Emory Specialty Associates, Llc — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Decatur