BRIAN WINGROVE PA-C
NPI 1689605081
Physician Assistant - Medical in Atlanta, GA

Q: What is Brian Wingrove's NPI number?

The NPI number for Brian Wingrove is 1689605081. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Brian Wingrove's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Brian Wingrove was last updated on March 31, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 05, 2006PECOS Enrolled

859 MOUNT VERNON HWY NE STE 300, ATLANTA, GA 30328(404) 785-0588(404) 785-0596 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 31, 2026, Jun 6, 2022, Jun 25, 2021 (3 updates tracked since 2021).

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About Brian Wingrove Pa-c NPPES

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

BRIAN WINGROVE PA-C (NPI 1689605081) is an individual medical provider in Atlanta, Georgia, licensed in Georgia (3990) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689605081

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameBRIAN WINGROVECredential: PA-C

Location Address859 MOUNT VERNON HWY NE STE 300Atlanta, GA 30328-4255

Mailing Address859 Mount Vernon Hwy Ne Ste 300Atlanta, GA 30328-4255 · (404) 785-0588 · Fax (404) 785-0596

Phone(404) 785-0588

Fax(404) 785-0596

Sole ProprietorNo

Enumeration DateJuly 5, 2006

Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1689605081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 3990

859 MOUNT VERNON HWY NE STE 300, Atlanta, GA 30328

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Secondary Practice Locations 3

Location 135 Jesse Hill Jr Dr SEAtlanta, GA 30303-3032 · Phone (404) 785-7856

Location 21001 Johnson Ferry RdAtlanta, GA 30342-1605 · Phone (404) 785-5431

Location 32220 N Druid Hills Rd NEAtlanta, GA 30329-3117 · Phone (404) 785-5431

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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)

Brian Wingrove Pa-c 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 20

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

RAFAEL CILLONIZ GUERRERO MD

Pediatrics (Pediatric Pulmonology)