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JOHN DAVID WAGNER MD
NPI 1144789298
Pediatrics - Pediatric Cardiology in Atlanta, GA

Active since March 18, 2019PECOS Enrolled
2970 BRANDYWINE RD STE 125, ATLANTA, GA 30341(713) 790-9401 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 11, 2025, Feb 26, 2025, Aug 3, 2022 and 2 more (5 updates tracked since 2019).

About John David Wagner Md NPPES

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

JOHN DAVID WAGNER MD (NPI 1144789298) is an individual pediatric cardiology provider in Atlanta, Georgia, licensed in Georgia (91568) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144789298
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameJOHN DAVID WAGNERCredential: MD
Location Address2970 BRANDYWINE RD STE 125Atlanta, GA 30341-5528
Mailing Address2835 Brandywine Rd Ste 400Atlanta, GA 30341-5540
Phone(713) 790-9401
Sole ProprietorYes
Enumeration DateMarch 18, 2019
Last NPPES UpdateJuly 17, 20255 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
✔ NPI 1144789298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in GA · 91568
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
2970 BRANDYWINE RD STE 125, Atlanta, GA 30341
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John David 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.

Other Providers at the Same Location NPPES 2

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

GINA PATEL M.D.
Pediatrics (Pediatric Cardiology)
2970 BRANDYWINE RD STE 125
ATLANTA, GA 30341
Dekalb County (404) 256-2593
CHILDRENS HEALTHCARE OF ATLANTA CARDIOLOGY INC
Pediatrics (Pediatric Cardiology)
2970 BRANDYWINE RD STE 125
ATLANTA, GA 30341
Dekalb County (404) 256-2593

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 John Wagner's NPI number?

The NPI number for John Wagner is 1144789298. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is John Wagner located?

John Wagner practices at 2970 Brandywine Rd Ste 125, Atlanta, GA 30341. The listed phone number is (713) 790-9401.

What is John Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is John Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Wagner was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.