Wagoner Holdings PA
NPI 1679236400 · Health Service Clinic/Center · Wake Forest, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wagoner Holdings PA is a Health Service Clinic/Center organization in Wake Forest, NC (NPI 1679236400).
Provider details
- NPI number
- 1679236400
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Evan Wagoner, Owner(260) 573-1249
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Other names (DBA / former)
- Doing business as
- Wake Forest Chiropractic
Registry dates
- Enumerated
- 2021-10-19
- Last updated
- 2021-10-19
- Certified
- 2021-10-19
Frequently asked questions
- What is Wagoner Holdings PA's NPI number?
- Wagoner Holdings PA's National Provider Identifier (NPI) is 1679236400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagoner Holdings PA?
- Wagoner Holdings PA is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wagoner Holdings PA located?
- Wagoner Holdings PA's practice location on file with NPPES is 851 Wake Forest Business Park Ste E, Wake Forest, NC 27587-7366.
- What is Wagoner Holdings PA's phone number?
- The practice phone number listed in the NPPES registry for Wagoner Holdings PA is (260) 573-1249.
- Does Wagoner Holdings PA accept Medicare?
- Wagoner Holdings PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wagoner Holdings PA?
- The authorized official listed on Wagoner Holdings PA's NPPES record is Evan Wagoner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagoner Holdings PA's NPI active?
- Yes — Wagoner Holdings PA's NPI (1679236400) is active in the NPPES registry as of the last update on 2021-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.