JUSTIN EDWARD WAGNON NP-C
NPI 1295112183
Nurse Practitioner - Adult Health in Cordele, GA

Active since April 30, 2015PECOS EnrolledAccepts Medicare Assignment
415 E 4TH AVE STE C, CORDELE, GA 31015(229) 273-9320 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin Edward Wagnon Np-c NPPES

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

JUSTIN EDWARD WAGNON NP-C (NPI 1295112183) is an individual adult health provider in Cordele, Georgia, licensed in Georgia (RN217684) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295112183
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJUSTIN EDWARD WAGNONCredential: NP-C
Location Address415 E 4TH AVE STE CCordele, GA 31015-0614
Mailing Address105 E 4th AveCordele, GA 31015-3262 · (229) 273-9320
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 30, 2015
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
NPI 1295112183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in GA · RN217684
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN217684 (GA)
415 E 4TH AVE STE C, Cordele, GA 31015

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justin Edward Wagnon Np-c 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.

PECOS PAC ID2961713227
PECOS Enrollment IDI20150612002101
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
234 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Crisp Regional Hospital

Acute Care Hospitals · Cordele, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110104
Location902 7th Street NorthCordele, GA 31015 · Crisp County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31015 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers27 claims29 services$15.99 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers53 claims53 services$7.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers63 claims63 services$104.34 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
2 suppliers23 claims1,380 services$4.60 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier14 claims780 services$6.53 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers24 claims2,160 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Adult Health)
415 E 4TH AVE STE C
CORDELE, GA 31015

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 Justin Wagnon's NPI number?

The NPI number for Justin Wagnon is 1295112183. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Justin Wagnon located?

Justin Wagnon practices at 415 E 4th Ave Ste C, Cordele, GA 31015. The listed phone number is (229) 273-9320.

What is Justin Wagnon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Justin Wagnon enrolled in Medicare?

Yes. Justin Wagnon 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.

What insurance does Justin Wagnon accept?

Health plans from Alliant Health Plans, Inc. list Justin Wagnon 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.

Is Justin Wagnon affiliated with any hospitals?

According to CMS data, Justin Wagnon is affiliated with Tift Regional Medical Center and Crisp Regional Hospital.

When was this NPI record last updated?

The NPPES record for Justin Wagnon was last updated on July 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.