1. Home
  2. Directory
  3. Georgia
  4. Snellville
  5. Internal Medicine
  6. NPI Profile

RUSSELL G WAGNER M.D.
NPI 1730168832
Internal Medicine in Snellville, GA

Active since January 17, 2006PECOS Enrolled
2160 FOUNTAIN DR, SUITE D, SNELLVILLE, GA 30078(770) 982-7790(770) 982-7795 Get Directions Write a Review

NPPES record last updated: December 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell G Wagner M.d. NPPES

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

RUSSELL G WAGNER M.D. (NPI 1730168832) is an individual internal medicine provider in Snellville, Georgia, licensed in Georgia (033740) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730168832
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRUSSELL G WAGNERCredential: M.D.
Location Address2160 FOUNTAIN DR, SUITE DSnellville, GA 30078-7022
Mailing Address2160 Fountain Dr, Suite DSnellville, GA 30078 · (770) 982-7790 · Fax (770) 982-7795
Phone(770) 982-7790
Fax(770) 982-7795
Sole ProprietorNo
Enumeration DateJanuary 17, 2006
Last NPPES UpdateDecember 23, 2013
✔ NPI 1730168832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 033740
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2160 FOUNTAIN DR, Snellville, GA 30078
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINC74275GA
Medicare ID-Type Unspecified11SCDVTGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell G Wagner M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES 17

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

LIFE HEALING CENTER PC
Psychiatry & Neurology (Psychiatry)
2160 FOUNTAIN DR
SNELLVILLE, GA 30078
Gwinnett County (678) 344-8268
KIMBERLY SCHIAVONI NP
Nurse Practitioner
2160 FOUNTAIN DR, SUITE D
SNELLVILLE, GA 30078
Gwinnett County (770) 982-7790
FRANKEL VAL MD PC
Legal Medicine
2160 FOUNTAIN DR
SNELLVILLE, GA 30078
Gwinnett County (770) 982-1111
MRS. ROBIN MATNEY BOGGESS NP
Nurse Practitioner (Adult Health)
2160 FOUNTAIN DR, SUITE D
SNELLVILLE, GA 30078
Gwinnett County (770) 982-7790
SERENITY BRIDGE TELEPSYCHIATRY & WEIGHT MANAGEMENT, LLC
Nurse Practitioner (Psychiatric/Mental Health)
2160 FOUNTAIN DR
SNELLVILLE, GA 30078
Gwinnett County (470) 236-1785
JOSHUA MORRIS
General Acute Care Hospital
2160 FOUNTAIN DR
SNELLVILLE, GA 30078
Gwinnett County (770) 982-2340
CATHLEEN A SCULLY N.P.
Nurse Practitioner
2160 FOUNTAIN DR, SOUTHEASTERN GERIATRIC HEALTHCARE GROUP
SNELLVILLE, GA 30078
Gwinnett County (770) 982-2336
EASTSIDE MEDICAL CENTER, LLC
Rehabilitation Unit
2160 FOUNTAIN DR
SNELLVILLE, GA 30078
Gwinnett County (770) 985-3885

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 Russell Wagner's NPI number?

The NPI number for Russell Wagner is 1730168832. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Russell Wagner located?

Russell Wagner practices at 2160 Fountain Dr Suite D, Snellville, GA 30078. The listed phone number is (770) 982-7790.

What is Russell Wagner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Russell Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Russell Wagner was last updated on December 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.