JAMES EDWIN WAGNER


Address: 377 Peyton Road S W, Atlanta, GA 30311
Phone: 4043337919

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse LPN086164 GA Nursing Service Providers

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Office Location

Street Address 377 PEYTON ROAD S W
City ATLANTA
State GA
Zip Code 30311

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City ATLANTA
Zip Code 30311

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Dataset Information

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.

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