Individual provider Active NPI

Wanda G. Buchheit, PA-C

  • Physician Assistant
  • Cumming, GA
National Provider Identifier
1396997235
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000494 Issued in GA
Practice address
6825 Turning Leaf CT
Cumming, GA 30028-4773
Phone
(770) 888-0448
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000494 GA Primary

Addresses

Primary practice location

6825 Turning Leaf CT
Cumming, GA 30028-4773

Mailing address

PO Box 2863
Cumming, GA 30028-6511
Phone (770) 888-0448

Other names 1

  • Ms. Wanda G. Buchheit Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000494GAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1396997235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2863",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286511",
            "telephone_number": "770-888-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 TURNING LEAF CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300284773",
            "telephone_number": "770-888-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHEIT",
        "first_name": "WANDA",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "000494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "BUCHHEIT",
            "middle_name": "G.",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.