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DR. SAMANTHA WAGNER MD
NPI 1053756890
Family Medicine in Atlanta, GA

Active since May 07, 2013PECOS Enrolled
91.6/100
CMS Quality Rating
2720 METROPOLITAN PKWY SW, ATLANTA, GA 30315(404) 905-9200(404) 815-4300 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 30, 2023, Dec 19, 2022, Jul 21, 2022 and 3 more (6 updates tracked since 2017).

About Dr. Samantha Wagner Md NPPES

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

DR. SAMANTHA WAGNER MD (NPI 1053756890) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (75943) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053756890
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMANTHA WAGNERCredential: MD
Location Address2720 METROPOLITAN PKWY SWAtlanta, GA 30315-7914
Mailing Address2720 Metropolitan Pkwy SwAtlanta, GA 30315-7914 · (404) 905-9200 · Fax (404) 815-4300
Phone(404) 905-9200
Fax(404) 815-4300
Sole ProprietorNo
Enumeration DateMay 7, 2013
Last NPPES UpdateMarch 30, 20236 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1053756890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 75943
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2720 METROPOLITAN PKWY SW, Atlanta, GA 30315
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Secondary Practice Locations 3

Location 1720 Westview Dr SWAtlanta, GA 30310-1458 · Phone (404) 752-1500
Location 21701 Hardee Ave SWAtlanta, GA 30310-5110 · Phone (404) 321-6111
Location 33896 Princeton Lakes WayAtlanta, GA 30331 · Phone (404) 489-4444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Wagner Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability100
Improvement Activities40
Cost73

Other Providers at the Same Location NPPES 3

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

PMR GEORGIA HOLDING, LLC
Non-Pharmacy Dispensing Site
2720 METROPOLITAN PKWY SW
ATLANTA, GA 30315
Fulton County (404) 905-9200
DR. CHRISTINE MARIE DANFORTH M.D.
Family Medicine
2720 METROPOLITAN PKWY SW
ATLANTA, GA 30315
Fulton County (404) 905-9200
ZIHAN GUO
Family Medicine
2720 METROPOLITAN PKWY SW
ATLANTA, GA 30315
Fulton County (404) 905-9200

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 Samantha Wagner's NPI number?

The NPI number for Samantha Wagner is 1053756890. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Samantha Wagner located?

Samantha Wagner practices at 2720 Metropolitan Pkwy SW, Atlanta, GA 30315. The listed phone number is (404) 905-9200.

What is Samantha Wagner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samantha Wagner enrolled in Medicare?

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

What insurance does Samantha Wagner accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Samantha 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 Samantha Wagner was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.