P Praxis·MD
● Active Type 1 · Individual

MR. Robert W Wagner, LPC

Counselor·Tyrone, GA· NPI 1457309387 · Enumerated 2006 · 20 years on NPI
Wagner is 1 of 10 counselor providers in Tyrone and 1 of 5527 in Georgia.
NPI age
20 years
Enumerated 2006-05-04
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-12-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5527 active counselor providers in Georgia.

NPI age
20 years
↑ 15 yr above median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
105 Greencastle Rd, Suite B
Tyrone, GA 302902937
📞 7704861011
Mailing address
105 Greencastle Rd, Suite B
Tyrone, GA 302902937
📞 7707577602

Specialties

  • Counselor Primary
    Definition to come...
    GA license #003153 taxonomy 101YM0800X
  • Counselor
    Definition to come...
    taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new counselor provider has been added in Tyrone 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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