Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336903319 Individual Practitioner Female Practitioner

Heather Wagner

Physician Assistant • Canton, GA

Professional Overview & Biography Verified Profile Summary

Heather Wagner is a registered healthcare professional specializing in Physician Assistant in Canton, GA. Practice services are available at 470 NORTHSIDE CHEROKEE BLVD STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

470 Northside Cherokee Blvd Ste 201

Canton, GA 301158029

Telephone 7707207246
Fax 7707204620
Associated Practice Facility / Clinic
🏢 Georgia Urology Pa Facility NPI 1609091891

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Canton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.4 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
51 Specialists

Practicing in Canton, GA (4726 Statewide)

Telehealth Adoption Rate
7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 12364

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Emily Andreano

Physician Assistant

NPI 1033765607
NPI 1366076945

MD(5, 18, )

NPI 1407388911

Doctor of Medicine (M.D.)

NPI 1447592902

Doctor of Medicine (M.D.)

NPI 1538277710

Doctor of Medicine (M.D.)

NPI 1548653199

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2026

Physician Assistant (License #12364 in GA)

📍
Updated Practice Location April 16, 2026

Registered at 470 NORTHSIDE CHEROKEE BLVD STE 201, CANTON, GA 301158029 (Tel: 7707207246)

📍
Updated Business Mailing Address April 16, 2026

Registered at 1930 BRANNAN RD, MCDONOUGH, GA 302534310 (Tel: 6782844040)

NPI Profile Active February 09, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2024

Registered at 2827 MOUNT WILKINSON PKWY SE, ATLANTA, GA 303393631 (Tel: 6785766028)

📍
Updated Business Mailing Address February 09, 2024

Registered at 2827 MOUNT WILKINSON PKWY SE, ATLANTA, GA 303393631 (Tel: 6785766028)

👤
Provider Name / Credentials Updated February 09, 2024

Recorded as HEATHER WAGNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration February 09, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336903319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2024
Last Update: May 18, 2026
Sole Proprietor: Yes

Mailing Address

1930 Brannan Rd

Mcdonough, GA 302534310

Phone: 6782844040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.