NPIMap

Individual provider Active NPI

Kraig M Wangsnes, M.D.

  • Interventional Cardiology Physician
  • Augusta, GA
National Provider Identifier
1659398394
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
39003 Issued in GA
Practice address
1348 Walton Way
Suite 5100
Augusta, GA 30901-5104
Phone
(706) 724-8611
Fax
(706) 724-6202
NPI assigned
Jul 17, 2006
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 039003 GA
Interventional Cardiology Physician 207RI0011X 39003 GA Primary

Addresses

Primary practice location

1348 Walton Way
Suite 5100
Augusta, GA 30901-5104

Mailing address

1348 Walton Way
Suite 5100
Augusta, GA 30901-5104
Phone (706) 724-8611

Other practice location 1

4350 Towne Centre Dr Ste 1100
Evans, GA 30809-3329
Phone (706) 724-8611

Other identifiers 5

IdentifierTypeStateIssuer
00624665BMedicaidGA
G39003MedicaidSC
2984464-003OtherGACIGNA
273305OtherGABCBS
4539908OtherAETNA PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000741 GA Practitioner - Cardiovascular Disease (Cardiology) 0143290635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Mayo Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1348 Walton Way
Suite 5100
Augusta, GA 30901-5108
Phone (706) 722-1381

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-2183

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting92
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Sep 1, 2023 Accepting new patients
University Cardiology Associates LLC Cardiovascular Disease CurrentSince Jan 1, 2012 Accepting new patients
University Cardiology Associates LLC Cardiovascular Disease CurrentSince Jan 1, 2012 Accepting new patients
Cardiovascular Associates of Augusta, PA Cardiovascular Disease Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Past Accepting new patients
Hospital Authority of Jefferson County and the City of Louisville Cardiovascular Disease Past Accepting new patients

Locations

1348 Walton Way
Ste 5100
Augusta, GA 30901
Phone (706) 724-8611

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

4350 Towne Centre Dr
Ste 1100
Evans, GA 30809
Phone (706) 863-3790

Organizations & group practices 6

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1659398394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY",
            "address_2": "SUITE 5100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015104",
            "telephone_number": "706-724-8611",
            "fax_number": "706-724-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY",
            "address_2": "SUITE 5100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015104",
            "telephone_number": "706-724-8611",
            "fax_number": "706-724-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4350 Towne Centre Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093329",
            "country_code": "US",
            "telephone_number": "706-724-8611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANGSNES",
        "first_name": "KRAIG",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "039003",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "39003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00624665B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G39003",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2984464-003",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "273305",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4539908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.