DR. PHILIP JON WAGNER DC
NPI 1043296171
Chiropractor - Internist in Beaufort, SC
About Dr. Philip Jon Wagner Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILIP JON WAGNER DC (NPI 1043296171) is an individual internist provider in Beaufort, South Carolina, licensed in South Carolina (1633) and active in the NPI registry since December 2005. He is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Philip Jon Wagner Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show Philip Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30308
- Reassigned Medicare billing, Georgia enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BEAUFORT, SC 29902
BEAUFORT, SC 29902
BEAUFORT, SC 29902
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 Philip Wagner's NPI number?
The NPI number for Philip Wagner is 1043296171. It was assigned to this individual provider in the NPPES registry on December 20, 2005.
Where is Philip Wagner located?
Philip Wagner practices at 1 Pinckney Blvd Naval Hospital Beaufort Attn Professional Affairs, Beaufort, SC 29902. The listed phone number is (843) 228-5577.
What is Philip Wagner's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Internist, with taxonomy code 111NI0900X.
Is Philip Wagner enrolled in Medicare?
Yes. Philip Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Philip Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Wagner reassigns Medicare benefits to Life University, Inc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Wagner accept?
Health plans from Providence Health Plan list Philip Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Philip Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Philip Jon Wagner, DC · NPI 1043296171
Internist provider in Beaufort, South Carolina. Individual provider, active in the CMS NPPES registry since December 20, 2005.
## Identity
- **NPI:** 1043296171 (Entity type: Individual)
- **Enumerated:** December 20, 2005
- **Primary specialty:** Chiropractor - Internist · taxonomy 111NI0900X
- **State license:** 1633 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS, Beaufort, SC 29902-6122
- **Phone:** (843) 228-5577 · **Fax:** (843) 228-5196
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Life University, Inc (NPI 1063033942, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN 000OTH
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Source: [NPI Profile](https://npiprofile.com/npi/1043296171) · Data from the CMS NPPES public registry.