| Justin Edward Wagnon, NP-C | |
|
415 E 4th Ave Ste C, Cordele, GA 31015-0614 | |
| (229) 273-9320 | |
| Not Available |
| Full Name | Justin Edward Wagnon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 415 E 4th Ave Ste C, Cordele, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295112183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | RN217684 (Georgia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | RN217684 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crisp Regional Hospital | Cordele, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| N.t. Cardiovascular Center | 7618034265 | 10 |
| Entity Name | N.t. Cardiovascular Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437399276 PECOS PAC ID: 7618034265 Enrollment ID: O20090325000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Edward Wagnon, NP-C 105 E 4th Ave, Cordele, GA 31015-3262 Ph: (229) 273-9320 | Justin Edward Wagnon, NP-C 415 E 4th Ave Ste C, Cordele, GA 31015-0614 Ph: (229) 273-9320 |
Ms. Candace Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1329 N 5th Street Ext, Cordele, GA 31015 Phone: 229-276-2286 | |
Kayla Bernardoni, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 E 16th Ave, Cordele, GA 31015 Phone: 229-271-9330 Fax: 229-271-9245 | |
Marcy King, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1329 N 5th Street Ext, Cordele, GA 31015 Phone: 229-273-9050 Fax: 229-276-3641 | |
Brandi Jean Newman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 902 N 7th St, Cordele, GA 31015 Phone: 229-276-3100 | |
Mrs. Emily James Lamb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 408 E 3rd Ave, Cordele, GA 31015 Phone: 229-271-2229 | |
Ms. Danielle K Hedden, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 804 E 16th Ave, Cordele, GA 31015 Phone: 229-273-8881 Fax: 229-273-8985 | |
Mrs. Jenifer Elaine Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 902 N 7th St, Cordele, GA 31015 Phone: 229-276-3361 Fax: 229-276-3362 |