CHRISTY WAGNER (NPI# 1790778033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790778033 |
| Entity Type | Individual |
| Full Name | CHRISTY WAGNER |
| Credential | MD |
| Practice Address |
1856-14 Thompson Bridge Rd Gainesville GA 30501-1663 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7705342800 |
| Practice Fax Number | 7705342889 |
| Mailing Telephone | 7702198420 |
| Mailing Fax Number | 7702198440 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 050067 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000907409B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417204942 | Christy Wagner | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2012-08-15 |
| 1053439703 | Christy A. Wagner | Licensed Vocational Nurse | 7600 Graves Ave, Rosemead, CA 91770-3414 | 2007-03-27 |
| 1629018668 | Christy Taylor Wagner | Counselor | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2006-06-07 |
| Street Address |
1856-14 THOMPSON BRIDGE RD |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222637 | Jeffrey L. Culpepper | Family Medicine | 1856-14 Thompson Bridge Rd, Gainesville, GA 30501-1663 | 2005-08-22 |
| 1578527545 | Kristen J. Clark | Physician Assistant | 1856-14 Thompson Bridge Rd, Gainesville, GA 30501-1663 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756313 | Divine Destiny Virtual Health | Family Medicine | 2631a Nw 41st St, Gainesville, FL 32606-6628 | 2020-07-06 |
| 1407479702 | Heather Lynn Towne | Family Medicine | 4730 Nw 32nd Ave, Gainesville, FL 32606-6023 | 2020-05-20 |
| 1346883196 | Carehere LLC | Family Medicine | 4340 Newberry Rd Ste 203, Gainesville, FL 32607-2557 | 2019-10-24 |
| 1609348978 | Anderle and Lewis Pllc | Family Medicine | 1615 Hospital Blvd Ste A, Gainesville, TX 76240-2032 | 2018-12-26 |
| 1598111064 | Janelle C Wilkinson | Family Medicine | 1600 Sw Archer Road- Suite N1-07, University of Florida Community Health & Family Medicin, Gainesville, FL 32610-3001 | 2016-05-13 |
| 1033581996 | Florida Medical & Allergy Centers LLC | Family Medicine | 926 Nw 13th St, Gainesville, FL 32601-4140 | 2015-10-30 |
| 1255703419 | Patient First Richmond Medical Group Pllc | Family Medicine | 14800 Lee Highway, Gainesville, VA 20155-1842 | 2015-10-28 |
| 1962884411 | Margaret A Erwood | Family Medicine | 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501-3806 | 2015-06-22 |
| 1902286867 | Mehak Gandhi | Family Medicine | 6400 W Newberry Rd Ste 101, Gainesville, FL 32605-4383 | 2015-06-05 |
| 1497135263 | Peter Farag | Family Medicine | 6400 W Newberry Rd Ste 101b, Gainesville, FL 32605-6605 | 2015-06-05 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.