Individual provider · Type 1 NPI

Amanda Nicole Wagner, PA

Physician Assistant · Gainesville, GA

NPI number 1043096142 Active

Practice location

743 Spring St NE
Gainesville, GA 30501-3715

Call (770) 219-9000 Map

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Other practice locations

  • 2129 Friendship Rd, Buford, GA 30519-2600 · (770) 715-5978

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12940 (GA)

Physician Assistant: 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 trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

698 other providers at this address

Other physician assistant providers in Gainesville

See all in Gainesville →

About NPI 1043096142

Amanda Nicole Wagner, PA's National Provider Identifier is 1043096142, issued on Sep 5, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gainesville, GA. The record was last updated on Sep 15, 2025.