Devin Wagenman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010928 Issued in GA

Practice address

1355 Roswell Rd Ste 152
Marietta, GA 30062-9058

Phone

(678) 809-0154

NPI assigned

Dec 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellness Way Brentwood PLLC

  • Chiropractor
  • Brentwood, TN
  • NPI 1437958345
  NPD Authorized official
• Wellness Way Hendersonville PLLC

  • Chiropractor
  • Hendersonville, TN
  • NPI 1518797349
  NPD Authorized official
• Wellness Way Marietta LLC

  • Chiropractor
  • Marietta, GA
  • NPI 1659159713
  Medicare reassignment
• Baaak Group Inc

  • Health Service Clinic/Center
  • Daphne, AL
  • NPI 1437785086
  NPD

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1508524943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 ROSWELL RD STE 152",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629058",
            "telephone_number": "678-809-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 ROSWELL RD STE 152",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629058",
            "telephone_number": "678-809-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGENMAN",
        "first_name": "DEVIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13821",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chigozirim Wachuku, AA-C
• Jessica Wackermann, CNM
• Geraldine Wade, MD
• Mir Abdul Wadud, NP
• Wae Partners ,LLC
• Anna Shumway Wagstaff, RD
• Don Rick Wakefield, PA
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP

• Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.