PEYTON WAGGENER
NPI 1649818410
Counselor - Professional in Decatur, GA

Q: What is Peyton Waggener's NPI number?

The NPI number for Peyton Waggener is 1649818410. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Q: What is Peyton Waggener's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: Is Peyton Waggener enrolled in Medicare?

No. Peyton Waggener has opted out of Medicare through February 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Peyton Waggener was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 12, 2019Opted out of Medicare · through Feb 25, 2028

1814 CLAIRMONT RD, DECATUR, GA 30033(404) 636-1457(404) 636-7449 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Peyton Waggener NPPES

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

PEYTON WAGGENER (NPI 1649818410) is an individual professional provider in Decatur, Georgia, licensed in Georgia (APC007217) and active in the NPI registry since December 2019. She has opted out of Medicare through February 25, 2028 and maintains a secondary practice location in Stone Mountain.

NPPES Registry Identity

NPI1649818410

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NamePEYTON WAGGENER

Location Address1814 CLAIRMONT RDDecatur, GA 30033-3405

Mailing Address1814 Clairmont RdDecatur, GA 30033-3405 · (404) 636-1457 · Fax (404) 636-7449

Phone(404) 636-1457

Fax(404) 636-7449

Sole ProprietorNo

Enumeration DateDecember 12, 2019

✔ NPI 1649818410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · APC007217

1814 CLAIRMONT RD, Decatur, GA 30033

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Secondary Practice Location 1

Location 15901 Hugh Howell RdStone Mountain, GA 30087-2402 · Phone (404) 636-1457 ext. 420 · Fax (404) 636-1457

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Peyton Waggener has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 25, 2024 through February 25, 2028.

Opt-Out Effective DateFebruary 25, 2024

Opt-Out In Effect ThroughFebruary 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

JACOB DREILING

Counselor (Professional)