MR. ROBERT W WAGNER LPC
NPI 1457309387
Counselor - Mental Health in Tyrone, GA

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
105 GREENCASTLE RD, SUITE B, TYRONE, GA 30290(770) 486-1011 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Robert W Wagner Lpc NPPES

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

MR. ROBERT W WAGNER LPC (NPI 1457309387) is an individual mental health provider in Tyrone, Georgia, licensed in Georgia (003153) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1457309387
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ROBERT W WAGNERCredential: LPC
Location Address105 GREENCASTLE RD, SUITE BTyrone, GA 30290-2937
Mailing Address105 Greencastle Rd, Suite BTyrone, GA 30290-2937 · (770) 757-7602
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 26, 2007
NPI 1457309387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · 003153
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
105 GREENCASTLE RD, Tyrone, GA 30290

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

Mr. Robert W Wagner Lpc 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 ID2062865702
PECOS Enrollment IDI20240129003330
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 4

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

Pediatrics (Adolescent Medicine)
105 GREENCASTLE RD, SUITE A
TYRONE, GA 30290
Counselor (Professional)
105 GREENCASTLE RD, SUITE B
TYRONE, GA 30290
Pediatrics
105 GREENCASTLE RD, STE A
TYRONE, GA 30290
Pediatrics
105 GREENCASTLE RD, SUITE A
TYRONE, GA 30290

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 Robert Wagner's NPI number?

The NPI number for Robert Wagner is 1457309387. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Robert Wagner located?

Robert Wagner practices at 105 Greencastle Rd Suite B, Tyrone, GA 30290. The listed phone number is (770) 486-1011.

What is Robert Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Robert Wagner enrolled in Medicare?

Yes. Robert 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.

What insurance does Robert Wagner accept?

Health plans from Providence Health Plan list Robert 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 Robert Wagner was last updated on December 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.