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

NPI Status: Active since August 31, 2023

Contact Information

550 PEACHTREE ST NE
ATLANTA, GA
ZIP 30308
Phone: (404) 686-4411

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  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About ELIVIA WAGNER

This page provides the complete NPI Profile along with additional information for Elivia Wagner, a provider established in Atlanta, Georgia with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1043095573 assigned on August 2023. The practitioner's primary taxonomy code is 363AS0400X with license number 11962 (GA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1043095573
Provider Name
ELIVIA WAGNER PA-C
Gender
Female
Entity Type
Individual
Location Address
550 PEACHTREE ST NE ATLANTA, GA 30308
Location Phone
(404) 686-4411
Mailing Address
550 PEACHTREE ST NE ATLANTA, GA 30308
Mailing Phone
(404) 686-4411
Is Sole Proprietor?
No
Enumeration Date
08-31-2023
Last Update Date
10-09-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
11962
License State
GA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

(GA)

Medicare Participation & PECOS Enrollment Status

Elivia Wagner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043095573, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 0 → 0 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 0 + 9 + 1 + 0 + 5 + 1 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1043095573.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
550 PEACHTREE ST NE, SUITE 1600
ATLANTA, GA 30308
Emergency Medicine
550 PEACHTREE ST NE, EMORY UNIVERSITY CRAWFORD LONG HOSPITAL
ATLANTA, GA 30308
Internal Medicine
550 PEACHTREE ST NE, STE. 1625
ATLANTA, GA 30308
Internal Medicine (Gastroenterology)
550 PEACHTREE ST NE, SUITE 1600
ATLANTA, GA 30308
Psychiatry & Neurology (Neurology)
550 PEACHTREE ST NE, SUITE 1200
ATLANTA, GA 30308
Psychiatry & Neurology (Neurology)
550 PEACHTREE ST NE, SUITE 550
ATLANTA, GA 30308
Anesthesiology
550 PEACHTREE ST NE, DEPT. OF ANESTHESIOLOGY, EMORY CRAWFORD LONG HOSP
ATLANTA, GA 30308
Pediatrics
550 PEACHTREE ST NE, 3RD FL
ATLANTA, GA 30308
Physical Therapist
550 PEACHTREE ST NE, SUITE 1165
ATLANTA, GA 30308
Physician Assistant (Medical)
550 PEACHTREE ST NE, SUITE 1700
ATLANTA, GA 30308
Pediatrics (Neonatal-Perinatal Medicine)
550 PEACHTREE ST NE, CRAWFORD LONG HOSPTIAL
ATLANTA, GA 30308
Emergency Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308
Surgery
550 PEACHTREE ST NE, SUITE 1485
ATLANTA, GA 30308
Obstetrics & Gynecology (Maternal & Fetal Medicine)
550 PEACHTREE ST NE, SUITE 1275
ATLANTA, GA 30308
Neurological Surgery
550 PEACHTREE ST NE, #1770
ATLANTA, GA 30308
Emergency Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308
Orthopaedic Surgery
550 PEACHTREE ST NE, 19TH FLOOR
ATLANTA, GA 30308
Emergency Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308
Emergency Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308
Optometrist
550 PEACHTREE ST NE, 9TH FLOOR
ATLANTA, GA 30308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043095573, enumerated as an "individual" on August 31, 2023.

The provider is located at 550 PEACHTREE ST NE ATLANTA, GA 30308 and the phone number is (404) 686-4411.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.