P Praxis·MD
● Active Type 1 · Individual

Amanda Nicole Wagner, PA

Physician Assistant·Gainesville, GA· NPI 1043096142 · Enumerated 2023 · 2 years on NPI
Wagner is 1 of 108 physician assistant providers in Gainesville and 1 of 4616 in Georgia.
NPI age
2 years
Enumerated 2023-09-05
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
2 years
↓ 6 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-09Enumerated in NPPES
2023 2026

Where they practice

Practice location
743 Spring St Ne
Gainesville, GA 305013715
📞 7702199000
Mailing address
Po Box 742616
Atlanta, GA 303742616

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2129 Friendship Rd
Buford, GA 305192600
📞 7707155978

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    GA license #12940 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.

Recently enumerated nearby: 9 new physician assistant providers have been added in Gainesville in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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