Amanda Wagner, PA
NPI 1043096142 · Physician Assistant · Gainesville, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amanda Wagner, PA is a Physician Assistant provider in Gainesville, GA (NPI 1043096142).
Provider details
- NPI number
- 1043096142
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 12940 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 2129 Friendship RdBuford, GA 30519-2600Phone: (770) 715-5978
Registry dates
- Enumerated
- 2023-09-05
- Last updated
- 2025-09-15
- Certified
- 2025-09-15
Frequently asked questions
- What is Amanda Wagner's NPI number?
- Amanda Wagner's National Provider Identifier (NPI) is 1043096142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Wagner's specialty?
- Amanda Wagner is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Amanda Wagner located?
- Amanda Wagner's practice location on file with NPPES is 743 Spring St Ne, Gainesville, GA 30501-3715.
- What is Amanda Wagner's phone number?
- The practice phone number listed in the NPPES registry for Amanda Wagner is (770) 219-9000.
- Does Amanda Wagner accept Medicare?
- Amanda Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amanda Wagner's NPI active?
- Yes — Amanda Wagner's NPI (1043096142) is active in the NPPES registry as of the last update on 2025-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.