Wesley Johansen
NPI 1174904064 · Anesthesiologist Assistant · Decatur, GA
Enrolled with Medicare as Practitioner - Anesthesiology Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1174904064
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Anesthesiologist Assistant367H00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
11 yrs in NPPES registry
- Profile completeness33% of score
83% of core fields populated
- Practice footprint20% of score
6 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$17 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (5)
- 8954 Hospital DrDouglasville, GA 30134-2272Phone: (770) 794-0477Fax: (770) 794-3108
- 146 Bill Carruth PkwyHiram, GA 30141-3749Phone: (770) 794-0477Fax: (770) 794-3108
- 531 Roselane St NwSuite 750Marietta, GA 30060-6913Phone: (770) 794-0477
- 2540 Windy Hill Rd SeMarietta, GA 30067-8605Phone: (770) 794-0477Fax: (770) 794-3108
- 677 Church St NeMarietta, GA 30060-1101Phone: (770) 794-0477Fax: (770) 794-3108
Registry dates
- Enumerated
- 2015-06-16
- Last updated
- 2023-07-26
- Certified
- 2023-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.