Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043096142 Individual Practitioner Female Practitioner

Amanda Nicole Wagner , PA

Physician Assistant • Gainesville, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amanda Wagner, PA is a certified Physician Assistant practicing in Gainesville, GA. With approximately 2 years of clinical experience since completing medical education in 2024, Amanda Wagner delivers high-quality medical care to the local community at 743 SPRING ST NE.

Amanda Wagner is affiliated with Northeast Georgia Physicians Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

743 Spring St Ne

Gainesville, GA 305013715

Telephone 7702199000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gainesville, GA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.4 yrs vs City Avg
City Avg: 9.4 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
109 Specialists

Practicing in Gainesville, GA (4726 Statewide)

Telehealth Adoption Rate
13.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (2 Years) 2 Yrs
Gainesville Specialty Average (9.4 Years) 9.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 12940

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.

Hospital & Practice Group Affiliations

Northeast Georgia Physicians Group Inc

743 Spring Nest, Gainesville, GA 305013715

Phone: 7702196000

Northeast Georgia Physicians Group Inc

597 S Enota Dr Ne, Gainesville, GA 305012545

Phone: 7702197777

Secondary Practice Locations

2129 Friendship Rd

Buford, GA 305192600

Phone: 7707155978

Practice Associates & Co-Workers

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

40 Associated Practitioners
Wyatt Erwin

Student in an Organized Health Care Education/Training Program

NPI 1003600131
Dr. Christine Lallos , MD

Anesthesiology - Critical Care Medicine

NPI 1013092733

Doctor of Medicine (M.D.)

Kedric Naylor

Hospitalist

NPI 1023375607
Robert Poole , PA

Physician Assistant

NPI 1023643251

Physician Assistant

Dr. Randall Duran , MD

Student in an Organized Health Care Education/Training Program

NPI 1033812151

Doctor of Medicine (M.D.)

Leslie Manias , AGACNP

Nurse Practitioner - Acute Care

NPI 1033837745

Adult-Gerontology Acute Care Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location September 15, 2025

Registered at 743 SPRING ST NE, GAINESVILLE, GA 305013715 (Tel: 7702199000)

📍
Updated Business Mailing Address September 15, 2025

Registered at PO BOX 742616, ATLANTA, GA 303742616

👤
Provider Name / Credentials Updated September 15, 2025

Recorded as AMANDA WAGNER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2025

Physician Assistant (License #12940 in GA)

📍
Updated Practice Location June 09, 2025

Registered at 2129 FRIENDSHIP RD, BUFORD, GA 305192600 (Tel: 7707155978)

NPI Profile Active September 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 05, 2023

Registered at 9057 LEXINGTON CT, BRASELTON, GA 305173470 (Tel: 7707155978)

📍
Updated Business Mailing Address September 05, 2023

Registered at 9057 LEXINGTON CT, BRASELTON, GA 305173470

👤
Provider Name / Credentials Updated September 05, 2023

Recorded as AMANDA WAGNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2023

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 05, 2023

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: 1043096142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2023
Last Update: September 15, 2025
Sole Proprietor: No

Mailing Address

Po Box 742616

Atlanta, GA 303742616

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.