James Edwin Wagner
Licensed Practical Nurse • Atlanta, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, James Wagner has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
James Wagner was a registered Licensed Practical Nurse practicing in Atlanta, GA. Throughout an active medical career spanning 5 years, James Wagner provided care at the practice location at 377 PEYTON ROAD S W until profile deactivation on 2020-05-18.
Practice Location & Contact Primary Location
377 Peyton Road S W
Atlanta, GA 30311
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Atlanta, GA
Practicing in Atlanta, GA (1401 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 18, 2020
NPI status registered as active in NPPES database
Registered at 377 PEYTON ROAD S W, ATLANTA, GA 30311 (Tel: 4043337919)
Registered at 377 PEYTON RD SW, ATLANTA, GA 303112133 (Tel: 4043337919)
Recorded as JAMES WAGNER
Licensed Practical Nurse (License #LPN086164 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
377 Peyton Rd Sw
Atlanta, GA 303112133
Phone: 4043337919
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