Amanda Nicole Wagner, PA
Physician Assistant · Gainesville, GA
Amanda Nicole Wagner, PA is a physician assistant with a practice address in Gainesville, Georgia, and NPI 1043096142, issued on Sep 5, 2023. Check the license (Georgia 12940, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Amanda Nicole Wagner
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 12940 GA
Self-reported in NPPES; status is on the state search - Practice location
- 743 Spring St NE, Gainesville, GA 30501
- Phone
- (770) 219-9000
- Enumerated
- Sep 5, 2023
- Record last updated
- Sep 15, 2025
- Medicare enrollment
- Enrolled (PECOS I20251030004243); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,662 in Georgia → Look up another NPI →
Also registered at 743 Spring St NE
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Amanda Nicole Wagner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 12940Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Northeast Georgia Physicians Group IncGainesville, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Amanda Nicole Wagner among 4,662 physician assistant records in Georgia
Amanda Nicole Wagner, PA is one of 4,662 physician assistant records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 77% of them.
- NPI issued2023 · 77% of these records are older, 16% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2024 · median 2018 among the 2,761 with a school on file
- Record last updated2025 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
109 physician assistant records list a practice address in Gainesville
They are 109 of the 2,998 NPPES records with a practice address in Gainesville, and 4,662 physician assistant records in Georgia.
All 4,662 in Georgia → Every provider in Gainesville → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Nickola Booker, PA-CGainesville, GA 305011225088438
- Davina Braselton, PA-CGainesville, GA 305011659329514
- Keith Causey, PAGainesville, GA 305011245338177
- Matthew Dovie, PAGainesville, GA 305011740217017
- Sarah Everett, PAGainesville, GA 305011801836499
- Robert Findley, P.A.Gainesville, GA 305011881601102
- Robert Langford, PAGainesville, GA 305011386799054
- V. Karen Laxson, P.A.Gainesville, GA 305011295731925
Common questions
What is Amanda Nicole Wagner, PA's NPI number?
Amanda Nicole Wagner, PA's National Provider Identifier (NPI) is 1043096142, issued on Sep 5, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Amanda Nicole Wagner, PA located?
The NPPES record lists a practice address at 743 Spring St NE, Gainesville, GA, 30501. Phone: (770) 219-9000. Providers update this record themselves, so call before visiting.
How can I verify Amanda Nicole Wagner, PA's license?
NPPES lists Georgia license number 12940, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.