JAMES EDWIN WAGNER (NPI# 1558754168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558754168 |
Entity Type | Individual |
Full Name | JAMES EDWIN WAGNER |
Practice Address |
377 Peyton Road S W Atlanta GA 30311 |
Mailing Address |
377 Peyton Rd Sw Atlanta GA 30311-2133 |
Practice Telephone | 4043337919 |
Mailing Telephone | 4043337919 |
Enumeration Date | 2015-03-07 |
Last Update Date | 2016-03-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | LPN086164 | GA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568965234 | James Wagner | Physical Therapy Assistant | 316 Madison St, Niles, MI 49120-3128 | 2018-03-08 |
1245740687 | James Wagner | Marriage & Family Therapist | 2324 University Ave W Ste 100, Saint Paul, MN 55114-8759 | 2017-10-11 |
1598969545 | James William Wagner | Chiropractor | 9574 Murray Dr, La Mesa, CA 91942 | 2007-06-13 |
1326188293 | James George Wagner | Obstetrics & Gynecology | 8000 Ave. J.t. Pinero, Plaza Cayey, Of. 204, Cayey, PR 00736 | 2007-02-08 |
1851469480 | James P Wagner | Family Medicine | 708 Viand Street, Point Pleasant, WV 25550 | 2006-12-01 |
1255412615 | James Allen Wagner | Rehabilitation Counselor | 11301 Wilshire Bl., Los Angeles, CA 90073 | 2006-10-18 |
1073536934 | James D Wagner | Internal Medicine | 890 Beaver Grade Rd Ste 3, Moon Township, PA 15108-2653 | 2006-07-25 |
1295783256 | James M Wagner | Dentist | 2620 Regatta Dr, 110, Las Vegas, NV 89128-6891 | 2006-05-04 |
1306804448 | James Blake Wagner | Physical Therapist | 1525 Country Club Rd, Sherwood, AR 72120-5076 | 2006-05-01 |
1851379044 | James M Wagner | Chiropractor | 1162 Dexter St, Milan, MI 48160-1162 | 2006-01-06 |
Street Address |
377 PEYTON ROAD S W |
City | ATLANTA |
State | GA |
Zip Code | 30311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528612694 | Modern Internal Medicine Urgent Care and Primary Care Inc | Clinic/Center | 2457 Martin Luther King Jr, Dr, Sw, Suit A, Atlanta, GA 30311 | 2019-07-27 |
1528515053 | Cherese Williams | Counselor | 2636 M L K Jr Dr Sw, Suite 22, Atlanta, GA 30311 | 2016-09-01 |
1790180131 | Johnny L Johnson | Nutritionist | 3030 Cambelton Rd, Atlanta, GA 30311 | 2014-10-28 |
1770718330 | Clayton E. Bell Sr. | Chiropractor | 2905 Campbellton Road, Suite G, Atlanta, GA 30311 | 2009-05-26 |
1720243207 | Farida Zohouri | Counselor | 2536 Martin Luther King Jr. Dr. Sw, Atlanta, GA 30311 | 2008-07-23 |
1649348962 | Mona Elaine Reynolds | Chiropractor | 3079 Campbellton Road, Suite 205, Atlanta, GA 30311 | 2006-12-04 |
1245337211 | Loreen C Doyle-littles | Pediatrics | 1175 Cascade Pkwy, Pediatrics Health Care Team A, Atlanta, GA 30311 | 2006-09-20 |
1740383512 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2429 Martin Luther King Jr. Dr., Atlanta, GA 30311 | 2006-09-07 |
1407806359 | Booker T Poe | Pediatrics | 2600 Martin Luther King Jr Dr, Ste 202, Atlanta, GA 30311 | 2006-05-11 |
1174581656 | Wendy M Morrow | Pediatrics | 3088 Campbellton Rd, Atlanta, GA 30311 | 2006-05-03 |
Find all providers in zip 30311 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740802826 | Melissa Danielle Carter | Licensed Practical Nurse | 5059 Upper Elm St, Atlanta, GA 30349-1669 | 2020-05-12 |
1821628488 | Rashi Swift | Licensed Practical Nurse | 4555 Washington Rd, 20-3g, Atlanta, GA 30349-3034 | 2020-01-23 |
1811436934 | La Raven Rambo | Licensed Practical Nurse | 95 Howell Dr Sw, Atlanta, GA 30331-4020 | 2017-02-22 |
1598166118 | Jaquary Moton | Licensed Practical Nurse | 3648 Utoy Dr Sw, Atlanta, GA 30331-8617 | 2014-09-15 |
1013341486 | Lillian L Freeman | Licensed Practical Nurse | 16103 Skyline Ln Ne, Atlanta, GA 30345-7915 | 2013-08-21 |
1083055503 | Theresa Richie | Licensed Practical Nurse | 2546 Wrangler Dr Sw, Atlanta, GA 30331-9453 | 2013-07-12 |
1891032157 | Carla Bernita Jones | Licensed Practical Nurse | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
1487904900 | Alecia Lee | Licensed Practical Nurse | 1050 Lenox Park Blvd Ne, 16103, Atlanta, GA 30319-5826 | 2012-09-12 |
1669757449 | Katrina Tolliver Jordan | Licensed Practical Nurse | 6600 Peachtree Dunwoody Road, Bulding 400 Suite 125, Atlanta, GA 30328 | 2011-10-12 |
1366736746 | Angela Simms | Licensed Practical Nurse | 2479 Peachtree Rd Ne, Apt 917, Atlanta, GA 30305-4121 | 2011-06-03 |
Find all providers in ATLANTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.