LINDA A. WAGGONER FOUNTAIN MD
NPI 1013086651
Pediatrics - Pediatric Infectious Diseases in Charlottesville, VA

Q: What is Linda Waggoner Fountain's NPI number?

The NPI number for Linda Waggoner Fountain is 1013086651. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Q: What is Linda Waggoner Fountain's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment

1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-0123(434) 243-3300 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2023, Oct 16, 2020, Aug 28, 2019 (3 updates tracked since 2019).

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About Linda A. Waggoner Fountain Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINDA A. WAGGONER FOUNTAIN MD (NPI 1013086651) is an individual pediatric infectious diseases provider in Charlottesville, Virginia, licensed in Virginia (0101048721) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlottesville, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1989).

NPPES Registry Identity

NPI1013086651

Entity TypeIndividualFemale

Primary Taxonomy2080P0208X

Provider Legal NameLINDA A. WAGGONER FOUNTAINCredential: MD

Location Address1204 W MAIN STCharlottesville, VA 22903-2824

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(434) 924-0123

Fax(434) 243-3300

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1989

Enumeration DateNovember 7, 2006

Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration

NPPES CertifiedAugust 10, 2023

✔ NPI 1013086651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0208X

License✔ Licensed in VA · 0101048721

Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

Also ListedPediatricsTaxonomy 208000000X · License 0101048721 (VA)

1204 W MAIN ST, Charlottesville, VA 22903

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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-2824 · Phone (434) 924-0211

Other Identifiers 1

Medicaid1013086651VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Linda A. Waggoner Fountain Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284621434

PECOS Enrollment IDI20040428001524

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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