Where does Justin Edward Wagnon practice medicine?

Justin Edward Wagnon has the following practice address:105 E 4TH AVE, CORDELE, GA 31015-3262

Does this provider have a license number?

Justin Edward Wagnon has the following license number: License Number RN217684 issued in Georgia.

Does Justin Edward Wagnon accept Medicare?

Yes. The provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Does Justin Edward Wagnon have any board certifications?

The provider does not have any board certifications.

Does Justin Edward Wagnon participate in PECOS?

Yes, Justin Edward Wagnon participates in PECOS.

What phone number can I call to contact Justin Edward Wagnon?

You can call the following number: (229)-273-9320

Are there any exclusions against this provider?

We have not detected any Exclusions tied directly to Justin Edward Wagnon.

Is Justin Edward Wagnon affiliated with any hospitals?

The provider is affiliated with the following hospital: CRISP REGIONAL HOSPITAL

When was this information last updated?

The CMS-based NPPES information was updated approximately 10 years ago (4/30/2015).

Overview Referral Sources Referral Destinations Practice Locations 3 Prescriptions Same Address Same Phone Medical Groups 1 Affl. Hospitals 1

Primary Practice Address
105 E 4TH AVE
CORDELE, GA 31015-3262 US

Accepts Medicare Payment

PECOS Enrolled

Justin Edward Wagnon

Nurse Practitioner (Adult Health)

CORDELE, GA
Phone: (229)-273-9320
Last Updated 4/30/2015

Overview

Q: What type of a medical provider is Justin Edward Wagnon?

Justin Edward Wagnon is a Nurse Practitioner (Adult Health).

Justin Edward Wagnon is a Nurse Practitioner (Adult Health) in the CORDELE area and has over 10 years of experience. Justin Edward Wagnon primary office location is at 105 E 4TH AVE and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 2015

Justin Edward Wagnon is affiliated with one hospital in the CORDELE area, CRISP REGIONAL HOSPITAL. The NPI number is 1295112183 and the information was updated approximately 10 years ago.

Justin Edward Wagnon is affiliated with one medical group in the CORDELE area, N.T. CARDIOVASCULAR CENTER.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
105 E 4TH AVE
CORDELE, GA 31015-3262 US
Phone: (229)-273-9320
Fax:

Practice Mailing Information
105 E 4TH AVE
CORDELE, GA 31015-3262 US
Phone: (229)-273-9320
Fax:

Practice Location Addresses: 2

License Number	State
RN217684	GA

Taxonomy	State	Primary?
Nurse Practitioner (Adult Health) - Taxonomy Code 363LA2200X	GA	Y
Nurse Practitioner (Gerontology) - Taxonomy Code 363LG0600X	GA	N

Physician Assistants in Nearby Cities

The numbers count the providers that list Physician Assistant as their Primary Taxonomy.

Nearby Physician Assistants

indicates nearby providers with referral data.

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20150612002101
PECOS Individual PAC ID:	2961713227
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Justin Edward Wagnon

Nurse Practitioner (Adult Health)

Overview

Contact Information

No Identifiers found

Quality Reporting:

PECOS Details:

Physician Assistants in Nearby Cities

Nearby Physician Assistants

About Us

Latest Posts

Useful Links