ELIVIA WAGNER PA-C
NPI 1043095573
Physician Assistant - Surgical in Atlanta, GA

Active since August 31, 2023PECOS Enrolled
550 PEACHTREE ST NE, ATLANTA, GA 30308(404) 686-4411 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2023, Aug 31, 2023 (2 updates tracked since 2023).

About Elivia Wagner Pa-c NPPES

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

ELIVIA WAGNER PA-C (NPI 1043095573) is an individual surgical provider in Atlanta, Georgia, licensed in Georgia (11962) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043095573
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameELIVIA WAGNERCredential: PA-C
Location Address550 PEACHTREE ST NEAtlanta, GA 30308-2212
Mailing Address550 Peachtree St NeAtlanta, GA 30308-2212 · (404) 686-4411
Sole ProprietorNo
Enumeration DateAugust 31, 2023
Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
NPI 1043095573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in GA · 11962
Also ListedPhysician AssistantTaxonomy 363A00000X
550 PEACHTREE ST NE, Atlanta, GA 30308

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elivia Wagner Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Anesthesiologist Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Physician Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Occupational Therapist
550 PEACHTREE ST NE
ATLANTA, GA 30308
Otolaryngology
550 PEACHTREE ST NE
ATLANTA, GA 30308
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE
ATLANTA, GA 30308
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Internal Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elivia Wagner's NPI number?

The NPI number for Elivia Wagner is 1043095573. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Elivia Wagner located?

Elivia Wagner practices at 550 Peachtree St NE, Atlanta, GA 30308. The listed phone number is (404) 686-4411.

What is Elivia Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Elivia Wagner enrolled in Medicare?

Yes. Elivia Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elivia Wagner was last updated on October 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.