P Praxis·MD
● Active Type 1 · Individual

MISS Myesha J. Wagner, FNP-C

Nurse Practitioner·Atlanta, GA· NPI 1952032112 · Enumerated 2022 · 3 years on NPI
Wagner is 1 of 555 nurse practitioner providers in Atlanta and 1 of 3206 in Georgia.
NPI age
3 years
Enumerated 2022-06-20
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-06Enumerated in NPPES
2022 2026

Where they practice

Practice location
36 Linden Ave Nw
Atlanta, GA 30308
📞 4047780278fax 4046868266
Mailing address
36 Linden Ave Ne
Atlanta, GA 303082951
📞 4047788266fax 4046868266

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN258179 taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    GA license #RN258179 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (GA) G34406A MEDICARE PTAN
05 (GA) 003274648A

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 11 new nurse practitioner providers have been added in Atlanta 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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